Patient Forms, Map and Directions to Daniel S. Eisinger Family Dentistry
We look forward to meeting you at your first visit to our office. During the first visit, we make sure to obtain important background information, like your medical and dental history, and give you time to get to know Dr. Dan and his staff. We will work with you to make a custom treatment plan for your oral health needs. Read on to learn more about our practice.
We are a family friendly dental office that strives to serve all our patients in a kind, caring, and compassionate manner. Our goal is to do our best work for every patient and treat them how we would like to be treated.
To fulfill this mission, we are committed to:
- Working with you to create a treatment plan to address your oral health needs and concerns.
- Earn your trust by treating you with respect and compassion.
- Continue educating ourselves and staying up to date with the current trends in dentistry.
Please print and fill out these forms so we can expedite your first visit:
In order to view or print these forms, you will need Adobe Acrobat Reader installed. Click here to download it.
How to Prepare
Being well-prepared for your appointment will ensure that we have all of the needed information to provide the best possible care for you. It also will help relieve any unnecessary anxiety you may be feeling. Bring any medications list and any oral appliances you may have like dentures, bite splints, or retainers. Also, take some time to review our staff page and familiarize yourself with Dr. Dan and his great staff. We look forward to your first visit.
Notice for COVID-19 guidelines:
For your safety and our safety, and we will call you before your appointment to answer COVID-19 screening questions and when you get here. We are taking everyone's temperature when they arrive as well as monitoring our own temperatures. It is required to wear a mask in the office unless getting treatment. We ask that you come by yourself unless a parent, guardian, or caregiver is necessary. Thank you for your understanding.