If you are a new patient to our office, below contains our new patient forms that will need to be filled out before you arrive at our office. Filling them out will allow us to attend to your medical needs more quickly than completing them on your arrival. Thank you and please call our office if you have any questions at all.
Patient Forms (Complete All Forms Prior To First Office Visit)
Dentist Referral Form
Pocket Reduction Treatment
Pocket Reduction TreatmentAfter 1 Week or Suture Removal
Periodontal Tissue Therapy/SRP
Periodontal Tissue Graft
Gingival Tissue Graft After 1 Week
Connective Tissue Graft After 1 Week
Crown Lengthening After Protective Covering Removal
This web site uses files in Adobe Acrobat Portable Document Format (pdf) which require Adobe® Acrobat® Reader for viewing and printing. It is available to download free.
“I’ve seen Dr. Leilani LaBelle for all my periodontic needs over the years. Her skillful hands and gentle touch are perfectly complemented by her spirited enthusiasm! She and her competent staff have the ability to calm my nervousness and alleviate my fear.”
“Maple Grove Periodontics and Implant Dentistry has that very rare yet truly genuine personal touch. They care so much. It’s something quite beyond what you would expect and I’m so grateful for it.”
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