Geshay Pediatric Dentistry, P.C.
Uniontown, PA
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    • Welcome
    • Why A Pediatric Dentist?
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    • Meet Dr. Geshay
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New Patient Forms

We are delighted that you have chosen our practice for your child’s first dental experience.  We hope that we can exceed your expectations.

The links below will help make the first visit easier.  By completing these new patient forms now, you will save time and allow you to concentrate totally on your child.  Ultimately, this will make for a more positive first visit.

NEW PATIENT FORMS

The New Patient Forms Packet should include 5 forms :

  • Welcome Signature on File
  • Patient Demographic Health History
  • Payment Policy
  • Child without Parent Operatory Guidelines
  • Notice of Privacy

PERMISSION FOR NON-PARENT TO BRING CHILD

Download Family or Friends Permission Authorization Form

 (This form is if someone other than the parents will be bringing your child  to the appointment.)

First Visit

  • Welcome
  • Why A Pediatric Dentist?
  • Infant Exams
  • Importance of Primary Teeth
  • Everything A Parent Should Know Brochure
  • First Visit – What To Expect
  • Words We Use
  • What Should I Tell My Child?
  • Book Suggestions
  • New Patient Forms
Schedule
An
Appointment
 
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  • Home
  • About Our Practice
  • First Visit
  • Emergencies
  • Patient Info
  • Pediatric Dentistry
  • Patient Handouts
  • Orthodontics
  • Meet Us
  • Fun & Games
  • Online Forms
  • Contact Us
  • Disclaimer
  • Sitemap

Geshay Pediatric Dentistry, P.C. • Address: 634 Pittsburgh Road Uniontown PA 15401 • Phone: Uniontown Office Phone Number 724-439-1576 • Fax: 724-438-7007

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