New Patient Packet

New Patient Packet2017-12-30T20:12:26+00:00

Hello ,
A very warm welcome to you. The entire team would like to thank you for selecting our office to care for your dental needs. Our office provides patients full comprehensive care including preventative, restorative and cosmetic dentistry.

Our goals are to provide each patient with the highest quality dental care in a gentle, efficient and pleasant manner. We strive to listen to the needs and concerns of our patients and encourage the prevention of future dental problems.

Generally, the first visit will include a thorough examination and necessary x-rays for proper diagnosis, followed by a consultation of your dental needs (unless you have a particular dental problem requiring immediate attention). Treatment costs will be discussed and financial arrangements made. Please note your dental cleaning will typically require a full hour of time and will not be done during this examination appointment.

Please print out and complete the new patient packet forms below and bring them with you to your first visit. We would also like to obtain your dental records from your previous provider. If you would please email or fax the included Record Release form back to us prior to your appointment we will have those records in place for Dr. Dittberner to review.


Should you have any questions please feel free to contact us at (928) 773-7900 or Should you need to reschedule or cancel for any reason we do ask for a minimum 48 business hours prior to your appointment to complete your request.

Look forward to meeting you!


Dr. Dittberner & Team

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