New Patient Forms
 

Your child should visit the dentist by his/her 1st birthday. You can make the first visit to the dentist enjoyable and positive. Your child should be informed of the visit and told that the dentist and his staff will explain all procedures and answer any questions. The less to-do concerning the visit, the better.

It is best if you refrain from using words around your child that might cause unnecessary fear.  Words that we prefer you not use with your child:  Needle, Shot, Pull or Yank, Blood, Pain or Hurt, Drill.  We do not use these words in our office.  We do explain to your child what we are going to do in a way that does not upset them.

It is our goal to make your child's visit a pleasant experience.  We want your child to be happy and look forward to visiting our office again.


A note to the child who will be visiting us...
 


Your First Visit to the Dentist!

 

One day before so very long you are coming to visit us. We are dentists and our names are Dr. Richard Cross, Dr. Kevin Raines and Dr. Jamie Cross Gomez. We enjoy having boys and girls come visit us. We also enjoy helping them keep their teeth pretty and clean so they can smile and eat and grow.

Our office is for boys and girls of all ages. We have video games you can play while you are here.

When you come to our office, we will let you sit in the magic chair. Your mom or dad can stay in the reception room and read magazines.  We will put a napkin around your neck so that when we brush your teeth no toothpaste will get on your clothes.  We will talk to you and look at your teeth.  During our visit we may take some pictures of your teeth and brush your teeth with an electric toothbrush.

When our visit is over, you can stop by our toy chest and you may pick out a little surprise for yourself.

We are looking forward to our visit!

Your Friends,
Drs. Cross, Raines, Gomez
and their Staff

 

We strive to make each and every visit to our office a fun one!

New Patient Forms

For your convenience when visiting our office, please print the following forms, complete the information and bring them with you on your first visit.

Patient Registration Form
Patient History Form
Office Policies
Dental Insurance

Notice of Privacy Policies (READ ONLY)
Acknowledgement Privacy Policies Form
 

To print the form you will need Adobe Acrobat Reader.  If you do not have Adobe Acrobat, please click here to download it for free to your computer.

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Lexington, SC Pediatric & Family Dentists & Orthodontist
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