New Patient information

Thank you for choosing Dr. Douglass Hamill for your dental needs. To get to know our clients better, your meeting will begin with a short interview to discuss medical history, specific concerns and a review of any medical history that can be provided. The more we know about your previous dental experiences, the better we can use your time with us. Prior to exam, it is recommended that you contact your previous dental professional and have a copy of your medical history sent to our office.

New Patient Form New Patient Form

Your comprehensive exam will include:

  • Oral cancer screening
  • Evaluation of periodontal (gum) health
  • Assessment of bone structure and jaw joint function
  • Bite evaluation
  • Breath analysis
  • Cosmetic evaluation
  • X-ray for cavity evaluation

New Patient Form New Patient Form

Review of treatment plan:

Dr. Hamill will finish your appointment with a review of his findings and will recommend a treatment to deal with your needs. If there are any questions, he will be more than happy to address them with you.

Financial Information

Any financial questions can be discussed with the billing coordinator prior to your oral evaluation. Dr. Hamill is committed to providing affordable dental care without sacrificing quality! Your treatment plan will include an explanation of all applicable fees, and we will inform you of all costs before treatment is administered. Please be prepared to pay your estimated portion at the time of service.

Acceptable forms of payment are:

  • Visa
  • MasterCard
  • American Express
  • Cash
  • Check
  • Money order

If you would like payments made over a longer period of time, a variety of financing options can be arranged. Depending on the amount and the credit provider, these lines of credit can be up to twelve months, interest- free. Please consult a member of Dr. Hamill´s staff to review our payment options to accommodate your financial needs. If you would like to make special provisions, please talk to the billing coordinator prior to receiving service.

New Patient Form New Patient Form

Dental Insurance

Our office appreciates the value of insurance benefits and will happily process your claim. Just bring your estimated portion of payment at the time of service. Please understand that this is only an estimate based on the information provided to us. The complete obligation for treatment is between you and our office. We will make every effort to assist you in any way possible; however, there are no guarantees and payment is due regardless of the benefits paid by your insurance. We accept many forms of dental insurance. Please contact us for more information.








The forms are provided for your convience. The Adobe acrobat reader is required for viewing and printing of the documents listed below. If you do not have Acrobat Reader installed simple click on the adobe link below and follow the instruction for download.

Adobe Reader

For your convience the new patient form below should be completed prior to arrival of your first visit This will help save you time during the check-in process.

New Patient New Patient Form
credit card Discover and visa   credit cards Mastercard American Express