Patient Forms

Please fill out and return the following forms before your first appointment at our office!

Health History Form

New Patient Form

HIPAA & F,C,S Forms

Your First Visit

Drs. Ford and Derringer and our staff treat our patients like family and strive to get to know everyone individually from their very first appointment. We want you to feel relaxed and at ease to ask questions when you’re in our office. Here’s what you can expect at your consultation.

1
Review your new patient forms and medical history forms
2
Complete your initial exam with x-rays
3
Customize your treatment plan
4
Discuss financial plans, insurance coverage, and payment options
5
Get started on your orthodontic journey!
Financing & Insurance
Affordable Treatment for All

Financing

Please ask us about our financing options, including our in-house preventive care plan. We also recommend the CareCredit and Lending Club financing programs as financing options for your treatment.

Insurance

We are in-network with Dental Care Plus, Delta Premier, Anthem 300, Superior Dental Care, and Cigna. We will also accept all insurance and file for you.

Emergencies

What To Do In A Dental Emergency

Although dental emergencies can be uncommon, it is still important to have a course of action in place when these issues arise. Read below to learn more about some of the more common types of dental emergencies. If you or your family member experience any of these cases, do not hesitate to reach out to our office to schedule an appointment.

  • Toothache

 

Not all toothaches are indicative of a dental emergency, but it is important to watch for any signs of it worsening. If you notice any swelling in your face and jaw, schedule an appointment with an emergency dentist as soon as possible.

  • Chipped or Broken Tooth

 

There are several things that can lead to a chipped tooth. This includes playing sports, biting into hard or crunchy foods, or even a clumsy accident. If you experience a broken tooth and aren’t sure what to do, contact our dentists to receive high-quality emergency dental care.

  • Knocked-Out Tooth

 

Just like with a broken or chipped tooth, accidents can happen when you least expect. Having a tooth knocked out can be severe and it is important to see your dentist as soon as possible. Be sure to rinse off the root of the tooth if it has any dirt or debris, and place the tooth in a glass of milk to preserve it for the restoration process.

  • Lost Filling or Crown

 

When a filling or crown is lost, there is an increased risk of infection or further damage to the affected tooth. For this reason, you will want to schedule an emergency appointment right away. In the time between losing the crown or filling and seeing a dentist, you will want to make an effort to keep the tooth clean by avoiding eating or chewing in that area of the mouth.

  • Abscess

 

A tooth abscess is a small pocket of pus that can be seen pushing out of a swollen gum. This bacterial infection is typically caused by a cavity that hasn’t been treated, an injury, or previous dental work. If you are experiencing pain and can locate a swollen area in the gums, you may need to see an emergency dentist.

While dental emergencies are rare, if a traumatic event occurs contact any of our offices as soon as possible. In these situations, X-rays are often necessary to determine the extent of the injury or incident and to determine the proper methods of treatment for your particular case.

FAQ
Frequently Asked Questions

What is considered a dental emergency?

A dental emergency is defined as a dental problem that needs the immediate attention of a dental professional in order to diminish pain, restore lost teeth, or stop excessive bleeding.

What procedures can a cosmetic dentist perform?

Our cosmetic dentists perform a wide array of cosmetic dental procedures to brighten your smile, restore your teeth, and youthen the appearance of your smile. Some of our cosmetic procedures include:

      • Veneers
      • Teeth whitening
      • Clear aligners
      • Crowns
      • Gum Contouring
      • Dental Implants
      • Sedation Dentistry
      • Botox®
      • Juvéderm®

What is sedation dentistry? 

At Toothologie we understand that visiting the dentist can be overwhelming for some of our patients. That’s why we offer several options for sedation to ease your dental anxiety. These options include:

      • Nitrous Oxide Sedation
      • IV Sedation
      • Oral Conscious Sedation

How often should I get a dental cleaning?

The American Dental Association recommends getting your teeth cleaned every 6 months, or twice a year. This can ensure you are maintaining healthy oral hygiene habits and prevent any serious dental issues in the long-term.