Patient Forms, Map and Directions to Topeka Office
Our group practice works together to realize a shared vision of uncompromising excellence in dentistry. The dentists and staff at Gage Dental Group strive to exceed your expectations by:
- listening to those we are privileged to serve;
- earning the trust and respect of patients, those in our profession and the community;
- ensuring a professional, knowledgeable, and compassionate environment; and
- providing continuous improvement at all levels.
Your First Visit
Please print and complete these forms in advance so we can expedite your first visit:
- New Patient Information Form
- Patient Medical History Form
- Notice of Privacy Practices
- Informed Consent
In order to view or print these forms you will need Adobe Acrobat Reader installed. Click here to download it.
If you have dental insurance, remember to bring your insurance card with you. It is also important that you bring an updated list of current medications. In addition, please make a list of questions to ask our office regarding any concerns or oral problems you have been experiencing.
We look forward to your first visit. Until then, take some time to familiarize yourself with your doctor and their staff.