Patient Forms/Info

Patient Forms, Map and Directions to Park Rapids Office

Your first visit to David Andersen, D.D.S., P.A. 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 you time to get to know your doctor. To understand what to expect for your 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 staff 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.

**NOTICE OF COVID-19 CHANGES**

Due to COVID-19 and the many changes placed upon dentistry by our government and regulatory agencies, you will notice some changes as you present to our office for treatment amidst the pandemic.  Our added safety protocols take some time to implement and engage, and late arrivals will cause significant delays in the day's schedule.  For this reason, we are asking our patients to be very prompt upon arrival.  If you arrive early and our providers are not yet ready to set you, you may be asked to wait in your car.

We are please asking that ONLY THE PATIENT BEING TREATED ENTER THE OFFICE.  If a young child is receiving dental care, we ask that the parent remain in the waiting area or in their car during the duration of the appointment.  In order to reduce aerosol exposures, ONLY THE PATIENT RECEIVING TREATMENT WILL BE ALLOWED IN THE TREATMENT ROOM.

All patients will be required to WEAR A MASK when entering the clinic.  Preferably, patients will wear their own cloth masks.  If you do not have a mask, one will be provided for you, but we strongly prefer the use of patient's own cloth masks to preserve PPE supplies.

You will be asked a series of COVID-19 screening questions at several points throughout the treatment process--as you make your appointment, upon appointment confirmation, on the day you actually present to the office for treatment, and a post-appointment follow-up.  Your truthfulness and candidness when anwering these screening questions is imperative in our effort to limit the spread of any disease in our clinic.  All patients and visitors entering the clinic will be screened via this questionnaire as well as a forehead temperature measurement.  

You will be required to sign a consent form prior to being seen for any procedure at our office.  In order to expedite your check-in process and minimize patients congregating in the waiting room, we are asking all patients to PLEASE PRINT THIS FORM FROM OUR WEBSITE AT HOME AND BRING THE COMPLETED FORM WITH YOU TO YOUR APPOINTMENT.

Finally, in order to expedite check-out times and minimize the transfer of money and credit cards between patients and staff, you will be asked to pre-pay for services rendered before scheduling your appointment.

We are committed to keeping our patients, our staff, and our community as safe as possible as we resume our dental care.  We appreciate your patience during this time of immense change!  THANK YOU!


Patient Forms
Please print and fill out these forms so we can expedite your first visit:

In order to view or print these forms, you will need Adobe Acrobat Reader installed. Click here to download it.


What To Expect
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.


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