Dawn Cooley, D.M.D.

36 Main St , Rt 4                     124 New Hartford Rd, Rt 44
Unionville, CT 06085            Barkhamsted, CT 06063
860-673-9770                         860-921-0191

New Patients
Welcome To Our Practice
We would like to thank you for choosing our practice. Our goal is to ensure your first visit is a comfortable and pleasant experience, while providing you with the highest level of dental care. 

What to Bring to Your First Visit
Please print out and complete the forms below and bring them to your visit.  If you have dental insurance, please bring your insurance card and information.
Patient Registration/ Medical History 
Form     Patient_Registration_Medical_History_Form.pdf
1.8 MB


HIPPA Privacy Act Form                                       Hippa2page.pdf
874.1 KB


Dental Records Release Form                               Dental_Records_Releasedate.pdf
134.5 KB
               


What to Expect at Your First Visit
Together we will complete the following:
      *Review your complete medical and dental history
      *Review any questions or concerns you have
      *Review any previous dental records/x-rays and/or take x-rays as indicated
      *Complete dental exam
      * Dental cleaning
After your exam, Dr. Cooley will discuss her findings and address any remaining concerns you may have. If additional treatment is indicated, she will discuss the options available to help you make the best decisions about your dental care.

Dental Insurance

We accept most insurance plans and will file claims on your behalf. Please understand , however, while we strive to give reasonable estimates of insurance coverage, patients are responsible for any balances not paid by your plan.

Payment Options
We accept cash, checks, Visa, MasterCard, and Discover. Payment is due at the time services are rendered.  Written estimates and available payment options are provided in advance for all necessary treatment.
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