Please assist us by providing the following information at the time of your consultation:


We will need current radiographs (x-rays) or CT Scans to accurately make a diagnosis. If your referring dentist has taken radiographs, you may request that they be forwarded to us. If you have not seen your dentist for an extended period (greater than 2 years) or if the radiographs are unavailable, Dr. Bouclin and his team will take any necessary radiographs.

Medical History

Complete our medical/dental questionnaire  prior to your first appointment.

Please notify the office if you have a medical condition or concern prior to surgery (e.g. artificial heart valves or joints, heart murmurs requiring pre-medication, severe diabetes, hypertension, etc).

List of Medications

Bring with you a list of medications you are currently taking, including format and dosing information.

If you have a regular pharmacy, they may be able to provide a detailed list of medications prescribed.

Dental Insurance Information

Please bring any forms or insurance cards.

With your written authorization, we can submit claims electronically on your behalf.  You must provide your insurance carrier, plan, and policy information.