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Sandburg Dental

Cosmetic and Family Dentistry
11317 S Western Ave
Ste 400
Oklahoma City, Oklahoma 73170


Phone:

405-378-6800

Cosmetic and Family Dentistry
             Cosmetic and Family Dentistry

New Patient Forms

Welcome to Sandburg Dental! We think we have a special practice and we hope you think so too. I opened this practive with a vision of providing the very best dentistry by blending the best technology with the most skilled staff that I could find. 

 

If you have x-rays and records from a previous dentist, please bring them with you to your appointment or have them forwarded to us.

 

You may download "New Patient Forms" at the bottom of this page. They provide us with valuable information about your dental history, allergies, and general health. 

 

We look forward to meeting you at your appointment.

Best wishes,

Dr. Rodney Sandburg II DDS

 

 

 

 

 

 

 

 

 

New Patient Form
NewPatientIntake.pdf
Adobe Acrobat document [2.7 MB]
WELCOME.docx
Microsoft Word document [12.3 KB]
WrittenFinancialPolicy.docx
Microsoft Word document [13.3 KB]
Acknowledgement of Receipt Form
Acknowledgement of receipt.docx
Microsoft Word document [14.8 KB]
Medical Information Release and Authoriz[...]
Microsoft Word document [26.5 KB]
Medical Excuse for Patients.doc
Microsoft Word document [26.0 KB]
SMILE EVALUATION.doc
Microsoft Word document [25.0 KB]
Notice of Privacy Practices
NOTICE OF PRIVACY PRACTICES 2014.docx
Microsoft Word document [20.2 KB]
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