New Patient Forms
We’d like to think our waiting room is incredibly comfortable, but we know we don’t compete with your couch, so take a moment to fill out these forms before you come in for your appointment. That will also help us take the “wait” out of waiting-room!
During your first visit, we’ll need to obtain important information, like your medical history and background.
Please fill out & print the following forms so we maximize your time with Dr. Kim.
In order to view or print these forms you will need Adobe Acrobat Reader installed.
Click here to download it.
New Patient Specials
Patients Without Insurance
Cleaning, Exam & X-Rays
Offer good in the absence of gum disease. Please mention this online special when you book your appointment. New Patients Only.
Affordable Options Available
Includes Cone Beam x-ray and full exam for dental implants and implant supported denture.
Please mention this online special when you book your appointment.
Sonicare Electric Toothbrush
Electric toothbrush gifted after initial exam, x-rays & cleaning.
Cannot be combined with any other offer. Please mention this online special when you book your appointment. New Patients Only.
Beavercreek Dental Benefits Program In Office Insurance
Read more about our offerings