Thank you for choosing Roup Dental.  The following is information that will be useful in meeting your dental needs.  Please feel free to complete these 2 pages before your appointment and bring them with you.  If unable, please arrive 10 minutes early and we can provide copies upon your arrival.

 

Please print these 2 documents and bring them to your first visit.

Medical History.pdf

Dental History.pdf

 

The following documents are available for your information only.  You will sign original copies of these documents at your first visit.

HIPPA Policy  

Roup Dental Financial Policy.doc