First Visit

Patient Forms

When you call to schedule a consultation appointment our office will request that you complete our Patient Registration forms. This will include a medical history and privacy policy form. You can complete the forms from our web site using a secure online connection. After you complete the form, please make sure to press the “Submit” button at the bottom to automatically send us your information. When you come into the office we will have your completed form available for your signature. If you prefer to fill out the paperwork by hand you can print the pages from the web site (see Online Forms) and bring the complete forms to the office. You may also request that the forms be mailed to your home. Another option is to come in 15 to 30 minutes prior to your scheduled appointment and complete the forms in our office. Please also bring a list of medications you are presently taking. We asked that you alert our office if you need to take antibiotics for heart conditions, such as valve replacement, or have undergone joint replacement. It is very important that the forms are completed prior to your scheduled appointment so we can stay on time. The security and privacy of your personal data is one of our primary concerns and we have taken every precaution to protect it.

Referral Forms

If you have been referred to our office by your dentist, please ask for a written referral form. Your dentist will fill out the slip and inform us the reason for the referral. Some dental offices prefer to send a referral letter or will use our online referral form. You do not need a referral from a dentist. Many patients come directly to our office for a consultation or second opinion.


We will need radiographs to evaluate you for extractions or dental implant treatment. If you have x-rays from your dentist please bring a copy to your consult appointment. Your dentist may prefer to email your x-rays if they are digital. Due to patient privacy issues we cannot request an office to send copies of your radiographs without your permission. If you have had a CT scan taken at another office you will need to ask them to send us a copy on a disc or you could stop by their office and request they give you a copy.

If you do not have radiographs we can take them at your consult visit. The type of radiograph we need will depend on the condition that needs treatment. Simple extractions or single tooth implant placement may only require a small periapical x-ray. When multiple teeth are involved we may need to take a full mouth series of radiographs or a cone beam CT scan. Our practice utilizes a state-of-the-art, cone-beam CT unit that provides high accuracy using low radiation. This technology provides highly accurate 3-D radiographic images for the diagnosis and planning of your case.

The Examination

At your consultation visit Dr. Misch will often ask, “How can I help you?” We want to hear about your particular concerns and what you desire from treatment. Dr. Misch will perform a thorough examination and record information used to plan your treatment. We may also take dental photographs or make impressions for study models so we can better plan your treatment or confer with your referring dentist.

Your Treatment Plan

After your examination Dr. Misch will review your radiographs and explain his findings. Many patients bring a spouse or family member to their consultation visit. Another set of ears can be helpful in understanding what was discussed. In simple or straightforward cases we can usually provide you with a written plan that includes estimated treatment length and fees. More complex plans may require seeing other dental specialists or obtaining additional information (such as photographs and study models). We will also offer you alternative plans if there are different ways to treat your case. You may need time to digest this information and develop questions regarding your plan. If needed you can return for a reconsultation to ask questions and better understand the process. We often schedule a work up appointment to prepare you for surgery so there is usually another opportunity to review your treatment.