Patient Forms and About Your First Visit
After Making Your Appointment, Please Fill Out New Patient Forms in Our Online Portal
New Child Patient Forms Here
To request an appointment, we prefer that you call us directly at (301) 622-1717. If you are having a dental emergency please call our office number (301) 622-1717, and we will do our best to see you as soon as possible. If your emergency is life threatening call 911.
Your first visit to Drewyer Dentistry establishes a vital foundation for our relationship with you. During the first visit, we make sure to obtain important background information, like your medical history, and give you time to get to know your doctor. To understand what to expect for your first visit to our practice, please read through this page. You'll find all the practical information you need, such as a map and directions to our office, practice hours, payment policies and more. There's also background information about our committed
and our first visit procedures. You can get a head start on your first visit by completing the new patient forms online in advance of your appointment. Check out our descriptions of services and FAQ's for more information.
All of us at Drewyer Dentistry have a shared commitment to sustaining our practice as the best place to come to work and the best place to come for dental care. We want our patients to know enough about their dental wellness to appreciate the high quality of care we provide.
Printable Patient Forms
If you encounter any difficulties with our online forms, we have conveniently provided printable patient forms below.
- Health History Adult
- Health History Child
- New Patient Registration
- HIPPA Notice of Privacy Practices
- HIPPA Receipt of Privacy Practices
- HIPAA Authorization to Release Patient Information
In order to view or print these forms you will need Adobe Acrobat Reader installed. Click here to download it.
Importance of Health History
The thorough, accurate completion of our Health History Form is often the singular most vitally important step regarding the safety and well being of our patients. It is understood and becoming ever more common for folks to realize there is no separation between the mouth and the rest of the body, mind and spirit. Whether it is a history of cardiovascular or digestive system concerns, to snoring or alcohol and tobacco use, to simply name a few, all of our questions are pertinent and important.
The listing of medications (prescription, herbal and over the counter) alone account for numerous interactions and ramifications for your dental concerns. We maintain an up to the moment library of all known medications and their correspondence to dental treatment. For example, there are over 400 drugs that contribute to dry mouth syndrome, a nuisance and often times debilitating disorder leading to gum disease, decay, and tooth loss. Knowing your meds, we know you better, and can help you determine the treatment that best serves your pursuit of a sustainable, preventive dental wellness profile.
We also provide space for any questions you may have for us, and any pertinent dental treatment history you would like for us to know.
Please, in order that we may most responsibly and effectively support your future dental wellness as a part of your total wellness of body, mind and spirit, entirely and correctly fill out our Health History Form.
Comprehensive Oral Exams
For all patients new to our practice, and any patients of record who have been away for some time, once any painful or emergency support has been rendered, we perform a Comprehensive Oral Exam. During this appointment a survey is accomplished that effectively allows for a record of all particulars that I can see, touch and feel. Beginning with an exam of "out of the mouth" areas of lymph nodes, muscles and jaw joints, and proceeding to a survey of cheeks, tongue, throat and the floor and roof of the mouth, records are made to note what is within normal limits and, of course, any changes that seem an alert to conditions of pathologic nature. The alignment of the bite and teeth, the history of previous fillings and crowns or other prosthetics and any signs of wear or fracture or missing or broken and wearing teeth and fillings-all are recorded.
The color and tone of the gum tissues, the incidence of bleeding on periodontal probing (six sites measured per tooth!), the relative looseness or tightness of the teeth and the status of the supporting jaw bone are all noted. We also make note of all current personal dental hygiene techniques you employ.
The use of the Diagnodent Laser Caries Detection Instrument may also be indicated. Your sweet tooth and other dietary preferences are also important factors to record.
Once a Comprehensive Oral Exam has been accomplished, a responsibly thorough set of x-ray records will be made to assess those areas that are beyond my sight and touch. These records are individually prescribed based on the previous findings and may include individual digital films and Panoramic digital films to complete my thorough view. Recently transferred x-rays of diagnostic quality may be substituted, as we are considered "x-ray conservative" and wish to expose no tooth before it's time. Comprehensive x-rays, however, are imperative in fulfilling my responsibility to properly diagnose and advise regarding your dental wellness.
Once we have taken the time to review all pertinent findings from these exams, we will formulate an individually customized plan for your treatment. Your Treatment Plans will include any and all options available to you in dentistry today, whether it is treatment that we provide or whether we would recommend referral to another practitioner. Treatment options are often compared based on the nature of the service in terms of time, predictable comfort and accommodation, predictable longevity, function and aesthetics, and the financial aspects for those services. We provide an in person overview of these plans at no charge to our patients. We encourage second opinions, in the interest that we may not be for everyone and we wish that every patient seek treatment where and when they feel most confident and comfortable. Because we work diligently to provide a thorough understanding of all options, our patients should not hear anything widely disparate from our conversation during a second opinion. If so, we urge them to seek a third opinion as a tiebreaker of sorts, simply in order that they may identify the best place for their ultimate care. A written summary of your Plans for Treatment is made available for your reference.