New Patient Registrartion Forms
Patient Registrartion Forms
To make the process easier for you, Purple Plum offers downloadable patient forms that you can access and complete at your convenience.
Dr. Kiani, will greet you and proceed with a comprehensive examination. Dr. Kiani will inquire about any specific concerns or questions you may have. Dr. Kiani will have thoroughly reviewed your medical and dental history, as well as examined images, scans, and x-rays.
Throughout the examination, Dr. Kiani will meticulously examine each tooth using an intraoral camera to provide detailed visual assessments of your dental condition.
For regular dental cleanings, our hygienist will perform the cleaning procedure while Dr. Kiani oversees the diagnostic process. This cleaning typically includes scaling, polishing, and flossing. We recommend a fluoride treatment at least once a year to help prevent cavities. If you wish to receive this treatment, please inform our staff.
Patients requiring periodontal care may need to schedule a follow-up appointment for specialized cleanings tailored to their individual needs.
Upon gathering all essential information, a comprehensive consultation with Dr. Kiani will be arranged. This session will involve a detailed review of findings and address any queries you may have. Upholding transparency in our procedures, we will provide you with a USB drive containing all relevant data and recommended reading materials pertaining to your case. Encouraging patients to advocate for their own well-being is a core principle of our practice.
Completing new patient paperwork is a crucial part of your first appointment – we want to understand your dental history and your reasons for visiting as comprehensively as possible, after all! In order to save valuable time in the waiting room, though, you are welcome to start working on your forms ahead of time. Click on the download link below, which will allow you to print out the pages at home. If you have any trouble with accessing this file, please let us know so we can assist you or mail you the paperwork directly.
For added convenience, Purple Plum Dentistry is happy to accept financing through CareCredit for extensive treatment. This third-party company offers multiple lengths of affordable payment plans, all of which come with very little to no interest attached. Patients can even use this type of financial aid to cover the cost of purely cosmetic services that would be disqualified from traditional insurance coverage regardless. To see if you qualify, please complete an application at the link below:
When it comes to the financial aspects of your treatment, our team strives to make this process as smooth and free of unnecessary stress as possible. We accept most major PPO dental insurance plans and can help patients navigate their particular coverage in order to reap the biggest benefits. We will also provide accurate cost estimates before treatment begins so that there are never unpleasant “surprises” later down the road.
Purple Plum Dentistry works with the following providers:
- Cigna
- Delta Dental PPO
- Metlife
- United Concordia
In today’s world, more patients than ever before don’t currently have traditional dental insurance coverage. This shouldn’t have to preclude you from caring for your smile in the ways it deserves, though – quite the opposite. At Purple Plum Dentistry, we offer an in-house dental membership plan that functions in a very similar way to insurance while eliminating many of the common frustrations and restrictions we’re all familiar with. There are no yearly maximums and deductibles – instead, patients pay flat fees without strings attached to access free preventive care, valuable discounts, and much more.
