First Visit

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veterans-acres-photography by James A. Pennebaker

Welcome to Kopp & Bloom and thank you for choosing us as your partner in dental health. We appreciate the opportunity to make your experience here pleasant and convenient.

We ask that you arrive 15 minutes prior to your scheduled appointment so that we can review your forms and information. Your first appointment will consist of a comprehensive oral exam so that we can understand the reason for your visit with us. Teeth cleaning may be performed at your first visit, or may be scheduled for a follow-up visit, depending upon the condition of your teeth and gums.

We will also take a series of radiographs (x-rays) to get a better look at your entire mouth. This allows our Doctors to check for dental decay, periodontal disease, and other oral health problems.

Our practice manager will discuss insurance and financing options with you. We will make every attempt to assist you in determining the best payment options so that cost is not a deterrent to completing dental care.

Our highest priority is your comfort, and any immediate issues that affect your comfort are addressed first. Second, we develop a treatment plan for any additional dental needs.

Bring To Your First Appointment:

  • Insurance Card
  • Identification (I.D. or Driver’s License)
  • If you have a medical condition that requires pre-medication, please request a prescription prior to your appointment
  • 4 required forms, as listed below
  • Any radiographs (x-rays) taken by a previous dentist, if applicable
  • A list of any medications you are taking

Required Forms:

Our required forms can be downloaded from our Online Forms page.  Please print and fill out prior to your appointment. If you prefer to have your forms mailed to you, please contact us.

checkmark-iconPatient Registration

checkmark-iconMedical History

checkmark-iconHIPAA

checkmark-iconFinancial Policy

Minors:

All patients under the age of 18 must be accompanied by a parent or guardian.

815.477.4055 | 615 Dakota St., Suite A | Crystal Lake, IL 60012

815.477.4055

615 Dakota St., Suite A

Crystal Lake, IL 60012