3300 Kemp Road
Beavercreek, Ohio 45431
(937) 426-2653

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Patient Forms, Map and Directions to Beavercreek Office

Your first visit to Beavercreek Pediatric Dentistry 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 your child time to get to know our dentists and staff. To understand what to expect for the first visit to our practice, please read through this page. 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 doctors 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.


Mission Statement
To provide any child with a fun dental experience regardless of their circumstances from life.


Patient Forms
Please click the link below to fill out the form online

Permission for treatment:
Once your child is an established patient, a consent form will be required prior to any treatment.  We require that anyone, other than a parent or legal guardian accompanying the child to the appointment, bring a permission slip signed by the parent or legal guardian allowing that person to make decisions regarding dental treatment for that child. However, a parent or legal guardian is REQUIRED at the very first appointment.


What To Expect
Being well-prepared for your child's appointment will ensure that the doctor has all of the needed information to provide the best possible care for your child. It also will help relieve any unnecessary anxiety you may be feeling. Educate yourself on your child's symptoms by reviewing the content on this Web site. Also, take some time to review our doctors page and familiarize yourself with the doctors. We look forward to seeing you!



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