Forms
Thank you for choosing Dr. Jolynn Galvin, DDS. For your convenience, this section includes forms you'll need during your first visit. If you still have any questions about your visit, feel free to call or email us. We are here to help.
| New Patient Form |
Your Office Visit
To allow ample time for your examination and cleaning, we prefer to see patients by appointment. We know that your time is valuable, and scheduling helps prevent waiting. If you cannot keep your appointment, please notify us 48 hours in advance so that we can extend the time to another patient.
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Dental InsuranceOne way we keep quality dental care affordable is by requesting payment at the time of your visit, thus eliminating routine billing costs. We will file your insurance claim and accept assignment of payment. We will send you a statement on any unpaid balance. We request your co-payment for all prosthetics in advance; and full payment in advance by uninsured patients.
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