Patient Forms, Map and Directions to Jacksonville Office
Your first visit to River City Dental 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
staff
and our first visit procedures. You can even save some time at your first
visit by printing out and completing the patient forms in advance of your
appointment.
Mission Statement
Our goal is to provide high quality dentistry, in a gentle, caring way,
utilizing the latest equipment, technology and the best customer service in
the area.
To fulfill this mission, we are committed to:
- Listening to those we are privileged to serve.
- Earn the trust and respect of patients, profession and community.
- Exceed your expectations.
- Ensure a creative, challenging and compassionate professional environment.
- Strive for continuous improvement at all levels.
Patient Forms
Please print and fill out these forms so we can expedite your first visit:
- New Patient Registration
- Financial Policy
- Health History Form
- Medication List
- HIPAA Consent
- Notice of Privacy Practices
In order to view or print these forms you will need Adobe Acrobat Reader
installed.
Click here to download it.
What To Expect
Being well-prepared for your appointment will ensure that the doctor has all
of the needed information to provide the best possible care for you. It also
will help relieve any unnecessary anxiety you may be feeling. Educate
yourself on your symptoms by reviewing the content on this Web site. Also,
take some time to review our
staff
page and familiarize yourself with the doctor. We look forward to your first
visit.
Driving Directions