First Visit and patient forms
Your initial appointment will consist of a consultation with Dr Salloum explaining your diagnosis and treatment options. Occasionally, treatment can be done the same day as the consultation. However, a complex medical history or treatment plan will require an evaluation and a second appointment to provide treatment on another day.
Please assist us by providing the following information at the time of your consultation:
- HIPAA Notice of Privacy Practices Bright dental
- ACKNOWLEDGEMENT OF RECEIPT Hippa Form
Please alert the office if you have a medical condition that may be of concern prior to surgery (i.e. diabetes, high blood pressure, artificial heart valves and joints, rheumatic fever, etc.) or if you are on any medication (i.e. heart medications, aspirin, anticoagulant therapy, etc.) or require medication prior to dental cleanings (i.e antibiotics, for pre-med.)
For our established patients, to update your forms please click Patient Login Link
Have questions for your dentist in Bethlehem,PA ? Contact us!