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New Patient Form - Required

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New Patient Form lets us know the history and current state of your dental and medical health.

Coldwater Dental Office offers our patient forms online so they can be completed it in the convenience of your own home or office. Follow these easy three steps:

  • If you do not already have AdobeReader® installed on your computer, Click Here to download.
  • Download the necessary forms, print it out and fill in the required information.
  • Bring them with you to your appointment.

Download & Print New Patient Form

During your initial dental examination, Dr. Takagi and our team will inspect the health of your teeth, gums, and your jaw. This examination will begin with a series of X-rays designed to give Dr. Hiroshi Takagi a complete look at the underlying structures of your jaw and teeth. For patients returning to Coldwater Dental Office for a six-month examination, X-rays will not be necessary unless required for a new issue like a broken or infected tooth.

The final portion of your general dentistry visit to Coldwater Dental Office will be a thorough cleaning of your teeth and gums. A member of our hygiene team will gently yet thoroughly clean your teeth and gums, finishing the procedure with a polish designed to highlight your healthy smile.

Patient Financing Options at Coldwater Dental Office

At Coldwater Dental Office, we understand that the cost of even basic dental care may be prohibitive for some patients in Coldwater. However, we believe all patients should receive the dental treatment they need. We provide access to convenient financing and payment options. We also ensure that patients are aware of the cost of treatment before we begin a procedure, so patients will never be surprised by their bill.