Aurora Dentist – New Patients
Your very first visit to our office for a new patient exam is designed to better acquaint you with everything Young Dental Care has to offer. We will introduce you to Dr. Amy Newkirk and Dr. Carlene Whitney, who are proud to continue the tradition of care that Dr. Kimberley Young and Dr. Keith Young have provided to our community since 1957. You will also get to know our caring staff who will be here to assist you while you are here in our office or to answer your questions when you call! We encourage all of your questions, as our first priority is to deliver exceptional care.
Please take a moment prior to your scheduled appointment to download our patient forms. Upon completion you may mail, fax or drop off the completed forms (this is exceptionally helpful if you have dental insurance for us to verify). Doing so will allow us to enter/verify all of your information prior to your appointment. Should you choose to fax your paperwork (call for fax number), kindly bring the originals to our office at the time of your appointment(s). If you do not find it convenient to return the forms prior to your appointment, please call with any applicable insurance information and also arrive 15-30 minutes before your scheduled appointment to allow registration and/or completion of your documents. We would like to welcome you to our practice and we look forward to meeting you.
|Download Forms Below
For your convenience, you can download all 7 files below here in one zip file.
1. welcome form (part one)
2. welcome form (part two)
3. contact information preference
4. financial policy
5. payment options menu
6. HIPAA privacy practices
7. acknowledgment of receipt of HIPAA privacy practices
Additional forms (not included in the forms above):
Illinois Department of Public Health “proof of dental examination form“