dr. strutz periodontics

Patient Forms

Preparing for Your Visit

At Dr. Strutz Periodontics, we strive to make your visit as efficient and seamless as possible. To ensure we have all the necessary information for your treatment and insurance processing, all required forms will be completed in the office. Our team will assist you with the forms and answer any questions you may have.

What You’ll Need to Do?

  • Fill Out Forms in the Office: Upon arrival, you’ll be asked to complete a few forms related to your medical history, dental health, and insurance information. Our staff will be happy to assist you if you need any help while filling them out.
  • Provide Insurance Information: If you plan to use insurance for your treatment, please be sure to bring the following with you:
    1. Insurance Card(s): To help us process your claims correctly.
    2. Birthdate and Social Security Number of the Insured Member: We will need this information to verify your insurance coverage and ensure we bill your insurance provider accurately.

Why We Do This:

Completing the forms in the office allows us to gather the most up-to-date and accurate information about your health and insurance, ensuring a smooth process for your treatment and billing. Our team will ensure that everything is handled efficiently so you can focus on your care.

Save Time

While forms are filled out in the office, you can save time by coming prepared with the necessary information: your insurance card, the birthdate and Social Security number of the insured member, and any relevant medical records. If you have any questions about what to bring or the forms you’ll be filling out, please feel free to contact us before your appointment.

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