Dental Forms for Adults, ages 13+

Welcome to Spring Lake Dental Group, a practice of patient-centered, preventive based, state of the art dentistry.  As the manager, I would like to take a moment to welcome you, tell you about our practice, and assure you of our commitment to you and to achieving all of your dental health related goals. Dr. Dickerhoff, Dr. Lewis, Dr. Calabria, Dr. Lindsey, Dr. Vitelli-Rodriguez, Dr. Powell, Dr. Whitehead, Dr. Nichols or Dr. Clark hope that you find us to be friendly, accommodating, informative, expert in our advice, gentle to the touch, and sensitive to your family budget.

Drs. Dickerhoff, Lewis, Calabria, Lindsey, Vitelli-Rodriguez, Powell, Whitehead, Nichols or Clark have created a business plan that includes receiving health care that keeps your doctor-patient relationship at the forefront while seamlessly involving all our office’s assets in order to reduce confusion, streamline decision making, and make receiving care a comfortable and trusting environment.  Our core professional staff, of five general dentists, work as ‘conductors’ in utilizing the talents of specialists in the fields of child dentistry, orthodontics (braces), endodontics (root canal therapy), and periodontics (gum surgeries), as well as hygienists, dental assistants, and patient care coordinators to create a perfect orchestra of talents to deliver modern, preventive health care.

Drs. Dickerhoff, Lewis, Calabria, Lindsey, Vitelli-Rodriguez, Powell, Whitehead, Nichols or Clark pride ourselves on no surprises.  Before we begin, you will know what, why, how, and how much. Today’s modern dentistry allows for many options in receiving health care.  You need to understand your options in order to make an informed decision.  Once we have made you comfortable concerning your decisions, it is up to our individual talents to show you that we can make the experience comfortable, rewarding, and affordable. Chairside digital displays, intraoral images, laser diagnostics, and the latest in materials and methods alone will not guarantee quality care.  Even though we have kept ourselves up to date with the latest technology, we realize that our practice has grown since 1996 because we have a special bond with our patients and their care.  Patient education, a true concern for your best interests, and a strong doctor-patient relationship will assure quality care.

Please arrive 15 minutes before your scheduled appointment time to allow for patient registration, as we want to spend the appointment time for your treatment.  Bring a list of all medications you currently take. Radiographs (x-rays) are adjunctive to the diagnosis process.  Forward any existing radiographs to us before your initial visit. Records can be mailed, faxed or emailed to [email protected].

Payment is required at the time treatment is rendered.  Drs. Dickerhoff, Lewis, Calabria, Lindsey, Vitelli-Rodriguez, Powell, Whitehead, Nichols or Clark accept most insurance plans, VISA, MasterCard, CareCredit, and cash.   Please become familiar with your dental plan as there may be plan limitations, frequencies, waiting periods, and maximum coverage amounts that will affect your out-of-pocket cost share.  Patient Care Coordinators are available to help you to better understand your insurance(s). Our team is trained to welcome and answer questions in a truly professional manner.  Drs. Dickerhoff, Lewis, Calabria, Lindsey, Vitelli-Rodriguez, Powell, Whitehead, Nichols or Clark pride ourselves on giving expert advice and educating you on making the best choices for you and your family.

Please let us know how we can better answer your questions, address your concerns, and make your overall experience with us more enjoyable and rewarding.  My office is always open to address your concerns and/or frustrations. I can be reached at 910-497-6830 or [email protected]  Again, welcome to Spring Lake Dental Group.

Forms to complete now, before your visit

  1. Patient Registration and Medical History
  2. Financial Arrangements and Insurance