As required by law, our office adheres to written policies and procedures to protect the privacy of information about you that we create, receive or maintain. Your answers are for our records only and will be kept confidential subject to applicable laws. Please note that you will be asked some questions about your responses to the attached questionnaire and there may be additional questions concerning your health. This information is vital to allow us to provide appropriate care for you. This office does not use this information to discriminate.
Please download and complete the Health History Form here:
Should a child be unaccompanied by a parent or legal guardian at the time of their treatment, we kindly ask that the attached consent form be brought with them to our office. This additional information will assist in treatment if it can be furnished with consent but is not required.
Please download and complete the Consent to Treat a Minor Form here:
Buehler Family Dental is now offering a low-cost, in-house, dental savings plan. Our plan includes coverage for preventive dental care along with discounts on future scheduled treatment.