New Patient Forms and Patient Info
Welcome to Cizek Dentistry. We've gathered all the necessary paperwork here to help you prepare for your first visit. Completing these forms ahead of time ensures a smooth, stress-free check-in so we can focus entirely on your care.
Easy Step-by-Step Instructions
1. Review
📄
Read through the forms to understand what information is needed for your upcoming visit.
2. Download
📥
Download and complete the forms at home. This helps us get you back quickly on your appointment day.
3. Bring/Send
📫
Bring the completed paperwork to your appointment or send them back via email or fax as instructed.
Frequently Asked Questions
We want you to feel comfortable and prepared for your visit. These answers to common questions help our new patients know exactly what to expect at Cizek Dentistry.
What can I expect at my first check-up?
It’s a big step to prioritize your oral health, and we are so glad you’ve chosen Cizek Dentistry. Whether it’s been six months or six years since your last dental visit, our goal is to provide a warm, supportive, and completely judgment-free environment where you can feel confident about your smile.
Here is what you can expect during your first visit with us:
​
1. Getting to Know You
We’ll start with some quick paperwork to gather your contact info, medical history, and insurance details. This helps us understand your overall health and ensures we can provide the safest, most effective care possible.
​
2. Essential Imaging
To see the full picture of what’s happening beneath the surface, we’ll take necessary X-rays and imaging. If you’ve had X-rays taken at another office in the last six months, just let us know!
​
3. Comprehensive Exam with Dr. Cizek
You’ll meet with Dr. Cizek to review your medical history and conduct a thorough oral evaluation. This is a collaborative time to discuss your specific concerns and goals. Depending on your needs, we’ll begin mapping out a personalized path forward to keep your teeth and gums healthy.
​
4. Professional Cleaning
Meet one of our fabulous hygienists! They will take precise measurements of your gum health, note any areas of concern, and give your teeth a sparklingly fresh cleaning. You’ll also walk away with tailored tips and feedback on how to keep your oral structures in tip-top shape at home.
​
Our team is here to support you every step of the way as we work together toward your long-term health. We can't wait to see you!
What should I bring to my appointment?
-
Completed patient forms
-
A valid photo ID
-
Emergency contact information
-
Insurance information
-
Medical history and a list of current medications
-
A list of any dental concerns or questions
-
Any dental appliances (night guard, partials, retainers)
-
Layers of clothing so you can stay comfortable in different office temperatures
-
Personal comfort items, like sunglasses, headphones, or a small pillow
How do I contact the office or reschedule?
You can reach our office by phone (805) 650-0902 or email cizekdentistry@gmail.com for any questions or to reschedule your visit. We kindly ask for 24 hours' notice for any appointment changes.