Welcome Letter For A New Patient Form. printable pdf download

Welcome Letter for a New Patient

The letter may be included with a practice brochure and a health history form and mailed to

new patients before the initial examination.

Dear ____________________,

We are looking forward to your first visit with us at ________ (AM,PM) on ________________,

20____. We have saved this time especially for you to welcome you, answer any questions you

may have, allow you to meet our staff, and provide a careful, thorough dental examination.

Please read the enclosed brochure carefully and save it for future reference. It answers many

questions about our practice as well as listing our telephone number and website and email

address.

In order to provide proper and complete care, we must have a health history as part of your

permanent records in our office. This and all the information on file in our office will remain

confidential. Please complete the enclosed health history form and bring it with you to the first

appointment. If you have dental insurance, please complete the patient portion of your form,

sign, and bring it also.

The cost of the examination will be $________; $________ if diagnostic x-rays are necessary.

We request that this fee be paid at the time of the examination. Following the first

appointment, we will assist you by filing your insurance. We will, however, ask that you pay

non-covered fees at the time service is rendered. We will be glad to discuss any questions you

may have about financial arrangements either before or following your initial examination.

Thank you for choosing our office for your dental care. We will care for you as we would our

own family members.

Sincerely,

Dr. John Doe and Staff

P.S. Our practice grows primarily by referrals from our satisfied patients. If after your first visit

you are pleased with our services---and we believe you will be---we will appreciate your referral

of your family and friends to us.

Welcome Letter For A New Patient Form.