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Lakeside Dental | New Patients in Gaithersburg




New Patients
AGD Member

When you arrive for your first visit, please be prepared to complete all insurance and health information forms that will allow us to begin your dental treatment. We will ask you to fill out several forms that will get you acquainted with our office.

Your initial exam will last approximately one hour. Lakeside Dental Team will meet with you first to perform a comprehensive exam. She and her staff will gather data and explain your digital x-rays, periodontal measurements, oral cancer screening, and your soft and hard tissue exam. Then a diagnosis of your oral condition and subsequent treatment plan will be created and shared with you.

If you’re a new patient, to expedite your first visit, you may download the forms below, fill them out and bring them to your appointment.

New-patient Registration Form

Health History Form

Financial Policy Form

HIPAA form

These forms require Adobe Acrobat Reader to view. If you do not have Adobe Reader already installed on your computer, click here to download.

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LINK TO: ebd.ada.org

Gaithersburg Dentist | New Patients. Omid Rajaei is a Gaithersburg Dentist.