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Patient Forms, Map and Directions

Your first visit to Michael Sievert DDS & Richard Topel DDS 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 these pages. 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.

Mission Statement
Our practice is working together to realize a shared vision of uncompromising excellence in dentistry.

To fulfill this mission, we are committed to:

• Listening to those we are privileged to serve.
• Earn the trust and respect of patients, profession and community.
• Exceed your expectations.
• Ensure a creative, challenging and compassionate professional environment.
• Strive for continuous improvement at all levels.

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

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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.
Initial Oral Examination
Your initial oral examination includes a visual examination, charting, periodontal probing, diagnosis and treatment recommendations. We will also take x-rays, which includes the periapical x-rays for proper diagnosis of the anterior (front) and posterior (back) teeth as well as the bite-wing x-ray series for proper diagnosis of proximal decay of posterior teeth.

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