You will need a responsible adult to bring you to your appointment and remain in the reception area for the duration of your procedure and drive you home. You will be unable to leave without someone to drive you. If you are under 18, you must be accompanied by a parent or legal guardian. If a legal guardian is accompanying a minor please be prepared to show proof of guardianship.
Please make sure that all insurance information is current and up-to-date. If there is a change in your insurance prior to your procedure, please be sure to inform our office as soon as possible.
Request your consultation today.
I understand the information disclosed in this form may be subject to re-disclosure and may no longer be protected by HIPAA privacy regulations and the HITECH Act.
Schedule your consultation and experience it for yourself.
I understand the information disclosed in this form may be subject to re-disclosure and may no longer be protected by HIPAA privacy regulations and the HITECH Act.
Williamsville, NY
New Patients: 716-740-3025
Current Patients: 716-276-3553
Email: info@niagaraoms.com
Fax: 716-276-3552
Dental Marketing by Progressive Dental