Patient Forms, Map and Directions to our Greenbelt Office
Your first visit to Dr Powers establishes a vital foundation for our relationship with you. During the first visit, we make sure to obtain important background information, like your medical history, and give you time to get to know Dr. Powers and the staff. To understand what to expect for your first visit to our practice, please read through this web site. 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's also background information about our committed staff and our first visit procedures. You can even save some time at your first visit by printing out and completing the patient forms in advance of your appointment.
A high quality, ethical, dental practice with a motivated, well-trained and happy team. We grow our practice with appreciative, satisfied, referring patients in a modern, comfortable facility.
To fulfill this vision, we are committed to these core values:
- Treat people as you would want to be treated
- Learn and grow
- Build Trust
Please print and fill out these forms so we can expedite your first visit:
- Patient Information Form
- Medical History Form
- Latex Allergy Screening Form
- Sleepiness Scale
- Authorization to Use/ Disclose Health Information Form
- Patient Email Consent Form (Read but don't print.)
- Acknowledgement of Reciept Notice of Privacy Practices
- Notice of Patient Privacy Practices (Read but don't print.)
In order to view or print these forms you will need Adobe Acrobat Reader installed. Click here to download it.