PATIENT FORMS

If you are new to Perio Health Partners or need to update your medical history, please download and print the PDF form below and bring it to your Perio Health Partners appointment.

We look forward to your visit!

Medical History Form

Please download and print the PDF form for your medical history and bring it to your Perio Health Partners appointment.

Pre-Operative Instructions

Please download and print the PDF form for your pre-operative instructions and bring it to your Perio Health Partners appointment.

Post-Operative Instructions

Please download and print the PDF form for your post-operative instructions and bring it to your Perio Health Partners appointment.

Patient Consent Form

Please download and print the PDF form for your patient consent and bring it to your Perio Health Partners appointment.

Notice of Privacy Practices

This is our Notice of Privacy Practices: Please download and print the PDF form and bring it to your Perio Health Partners appointment.

DID YOU KNOW…?

  • All of our patients are carefully screened first to determine if they are periodontal or implant candidates
  • Medical history, dental history, necessary x-rays and clinical evaluations are performed
  • We communicate with the restoring dentist to come up with the ideal treatment plan
  • Diagnostic models are then used to plan your treatment and determine the best option for you
  • For precise implant planning, a surgical stent (guide) is created, allowing for optimal implant position
  • Implant evaluations are meticulously planned with your restorative dentist to create a highly esthetic and predictable treatment outcome

PRE AND POST-OPERATION

A list of detailed pre- and post-operative instructions are reviewed with each patient and customized for specific needs.

Prescriptions are provided to the patient two weeks ahead of their scheduled appointment, enabling them to take their medications at the appropriate times before surgery. Oral sedation and various relaxation techniques are available to reduce and alleviate patient anxiety.

ADA Logo
AAOP Logo
aoo-logo
Legal Logo White

Follow Us On:

Our Location

1815 S. Clinton Ave.
Building 500, Suite 500
Rochester, NY 14618
585-376-5300
info@periohealthpartners.com

Patient Forms
Rate this post