• First Visit

  • First Visit

Are you ready to experience the strength and satisfaction of our dental care?

C ontact us by phone or email, or use the form below. Please note that if you are unable to keep an appointment, we ask that you kindly provide us with at least 48 hours notice so your appointment can be freed for another patient. A fee may be charged if you do not show up for an appointment.

schedule an appointment

Before your first visit, we’d love to learn more about you. Please fill out all five of these forms before your appointment. You can fill them out online after your appointment is made if you wish, or just print and fill them out before you come in.

Patient Info

Fill Out New Patients Form Online (English)
Fill Out New Patients Form Online (Spanish)
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download for adobe (PDF)

Treatment Agreement

Fill Out New Patients Form Online (English)
Fill Out New Patients Form Online (Spanish)
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download for adobe (PDF)

Medical
History

Fill Out New Patients Form Online (English)
Fill Out New Patients Form Online (Spanish)
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download for adobe (PDF)

Hippa Dental Release

Fill Out New Patients Form Online (English)
Fill Out New Patients Form Online (Spanish)
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Appointment Policies

Fill Out New Patients Form Online (English)
>Fill Out New Patients Form Online (Spanish)
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ONLINE FORM

Patient Info

Precision Dental
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ONLINE FORM

Medical History

Precision Dental
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  • Are you allergic to any of the following?

  • Do you have any of the following medical conditions?

  • New Patients

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ONLINE FORM

Treatment Agreement

Precision Dental

  • In order to best serve the needs of our patients, we provide you with an estimate based on the information we have received from you and your insurance company. We strive to accurately determine your co-pay, but unfortunately, are unable to determine exactly to the penny what amounts will be paid toward your dental care. Therefore, please note that this is an estimate. It represents our “best educated guess” of your co-pay.


    We find that many services are either poorly covered or not covered at all by insurance companies, and that every insurance plan has its own unique “quirks”, exceptions, limitations, maximums, and fee schedules. Insurance companies never update us as to eligibility and benefit changes. Their fee schedules and complicated contract language are kept secret. We have to depend on you, the policyholder, to make us aware of benefits, changes, or modifications in your coverage.


    All co-payments and deductibles are due on or before the day services are rendered. Any portion ultimately not paid by the insurance company immediately becomes your responsibility. In order for us to assist you in working within your budget, we have worked very hard to make several financial options available to you. Our staff will help you “find a way” to afford this investment in your dental care. We are always available and happy to discuss any financial concerns you may have. Just ask us!

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ONLINE FORM

Hippa Dental Release Form

Precision Dental
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  • I understand that I have the right to revoke this authorization, in writing, at any time by notifying this office. Such revocation will not affect actions taken by the requesting person prior to the date he or she received the written revocation. I also understand information disclosed pursuant to this authorization may be subject to redisclosure by the recipient and will no longer be protected by this rule. I understand that my health care provider cannot condition treatment on whether I sign this authorization.

  • This authorization will remain in effect until terminated by me in writing or until the following date (within one year of today’s date):

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ONLINE FORM

Missed or Cancelled Appointment Policy Form

Precision Dental

  • Your appointment is reserved specifically for you. A missed appointment greatly affects the practice due to the loss of an empty appointment slot. A missed appointment impacts the access of other patients to more timely care.

    We will make all efforts to reschedule any appointment to meet your needs if given at least 48 hours notice (business days).

    Failure to show for an appointment will result in a $25 cancellation fee.

    Appointments scheduled for more than one hour will require a $50 deposit that will be applied to treatment. If you are cancelling in less than 48 hours, you will lose your $50 deposit.

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Contact

Please use the form below to make an appointment or give a call.

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More Info

Phone

702-331-4444

Fax

702-749-6200

Business hours

Monday 9am-6pm
Tuesday 9am-6pm
Wednesday 9am-6pm
Thursday 9am-6pm
Friday 8am-3pm
Saturday Closed
Sunday Closed
Accessibility by WAH