20921 E. Smoky Hill Rd., Suite A | Centennial, CO 80015 | Phone: 303.690.7778

New Patient Info

We appreciate your selection of our practice to serve your dental needs.


First Appointment

Adult patients, please allow two hours for your first visit.  A comprehensive  oral health examination, including a screening  for oral cancer and  periodontal  disease,  will be performed.   For diagnostic purposes, necessary digital x-rays will be  taken in accordance with guidelines established by the American Dental Association.  Dr. Wallace will listen to your oral health concerns, smile goals and answer questions. He will discuss his dental evaluation with you and any recommended treatment.

For Children, please allow an hour for their first visit.  A comprehensive oral exam, cleaning and fluoride treatment will be performed.  Necessary digital x-rays will be taken to check for cavities and assess proper tooth and jaw development. 

If it is more convenient for you to complete your new patient forms prior to your visit, simply click and print the documents below.  These forms have narrow margins, please set your printer to "fit to page".

Download each form separately:

Download all forms together:

** This kit does not include the HIPAA PRIVACY PRACTICES or the FINANCIAL POLICY **

Please download and read separately.

Request an appointment with us today!

Thank you.

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