Patient Forms, Map and Directions to Stoughton Office
Welcome to our dental office. We appreciate the trust you have placed in us and we will strive to provide the high quality of dental care that you expect. My staff and I are honored that you have chosen us to care for your dental needs.
Please copmplete the COVID Acknowledgement Form and bring to your appointment.
Your first visit to Thane B. Anderson, DDS involves a few special steps so that we can get to know you.
- Please complete the new patient forms below and arrive 10 minutes early for your first appointment.
- Please complete and send the Records Release Request form found below to your previous dentist so they are able to forward your records to our office prior to your appointment. If we do not receive your previous x-rays prior to your appointment, we will need to take new ones.
- Please bring your insurance card and a complete medication listing.
Being well-prepared for your appointment will ensure that the doctor has all of the needed information to provide the best possible care for you. It also will help relieve any unnecessary anxiety you may be feeling. Educate yourself on your symptoms by reviewing the content on this Web site. Also, take some time to review our staff page and familiarize yourself with the doctors. We look forward to your first visit.
Please complete and print out these forms so we can expedite your first visit:
- COVID Acknowledgement Form
- Welcome Form
- Medical History
- Patient Privacy
- Financial Policy
- Records Release Request
- Notice of Privacy Practices
In order to view or print these forms you will need Adobe Acrobat Reader installed. Click here to download it.