Patient Forms, Map and Directions to our Holland Office
Your first visit to Anderson Family Dental involves a few special steps so that we can get to know you. To understand what to expect, please read through this page. You'll find all the practical information you need, such as a map and directions to our office, practice hours, payment policies and more. There is also background information about our committed staff and our first visit procedures. You can also save some time by printing out and completing the patient forms in advance of your appointment.
Notice of Privacy Practices: /docs/Privacy%20Notice.pdf
What To Expect
Being well-prepared for your appointment will ensure that the doctor has all of the needed information to provide the best possible care for you. It also will help relieve any unnecessary anxiety you may be feeling. Educate yourself on your symptoms by reviewing the content on this Website. Also, take some time to review our staff page and familiarize yourself with the doctors. We look forward to your first visit.
To provide the best possible oral health care while respecting each individual patient’s wants/needs in a compassionate and trustworthy environment.
To fulfill this mission, we are committed to:
- Listening to those we are privileged to serve.
- Earn the trust and respect of patients, profession and community.
- Exceed your expectations.
- Ensure a creative, challenging and compassionate professional environment.
- Strive for continuous improvement at all levels.
Please print and fill out these forms so we can expedite your first visit:
Patient Registration: /docs/Patient%20Registration.pdf
Health History: /docs/Health%20History.pdf
E-Reminder Form: /docs/E-reminder%20form.pdf
Patient Authorization: /docs/PATIENT%20AUTHORIZATION.pdf
Notice of Privacy: /docs/Notice%20of%20Privacy.pdf
Financial Policy: /docs/Financial%20Policy.pdf
In order to view or print these forms you will need Adobe Acrobat Reader installed. Click here to download it.