Your initial office visit consists of a comprehensive periodontal examination in order to provide an accurate diagnosis and proper treatment plan. Dr. Kubikian performs a periodontal and occlusal examination, taking necessary x-rays and discussing your medical and dental histories before discussing the treatment plan with you and your referring dentist.
Since a variety of risk factors, including stress, teeth grinding/clenching, genetics, smoking, diabetes and compliance to preventative care can affect dental health, it is important to gain an understanding of any and all factors that may impact the recommended therapies.
For your first visit, please provide the following information:
A referral slip and radiographs from your referring dentist
A completed patient registration and medical history form
Right Click Here To Download the Form.
Select “save as” or “save link as” to download.
Open form from your saved location and fill it out.
SAVE the pdf after entering information.
Email completed form to: firstname.lastname@example.org
If you have dental insurance, please bring any forms or insurance cards to the appointment.
Click Here to download Our New Patient Welcome Packet
At South Jersey Periodontics & Dental Implants, LLC, we work closely with you and your referring dentist in order to ensure the best quality treatment.