New Patient Form

Our office, as well as the The American Academy of Pediatrics (AAP), the American Dental Association (ADA), and the American Academy of Pediatric Dentistry (AAPD) all recommend establishing a "Dental Home" for your child by one year of age.  Children who have a dental home are more likely to receive appropriate preventive and routine oral health care.

The Dental Home is intended to provide a place
other than the Emergency Room for parents. 

You can make the first visit to the dentist enjoyable and positive. If old enough, your child should be informed of the visit and told that the dentist and their staff will explain all procedures and answer any questions. The less to-do concerning the visit, the better.

It is best if you refrain from using words around your child that might cause unnecessary fear, such as "needle", "shot", "pull", "drill" or "hurt". The office makes a practice of using words that convey the same message, but are pleasant and non-frightening to the child.

We invite you to stay with your child during the initial examination. During future appointments, we suggest you allow your child to accompany our staff through the dental experience. We can usually establish a closer rapport with your child when you are not present. Our purpose is to gain your child's confidence and overcome apprehension. However, if you choose, you are more than welcome to accompany your child to the treatment room. For the safety and privacy of all patients, other children who are not being treated should remain in the reception room with a supervising adult.

We have made great effort to provide a comfortable office for all that visit us.

During your visit, please observe the following:

  • It is expected of parents/guardians to keep children safe and at their side.

  • Please NO FOOD OR BEVERAGES.

  • Children have to be seated, not running or jumping on furniture.

  • Bring with you at EVERY visit your insurance card or ID.

  • We treat children, at ALL times parents have to be present.

  • No cell phones calls in our office. No taking pictures unless authorized by Dr. Hernandez.

  • If not able to keep an appointment; 24 hour cancellation is expected.

  • Treatment plan patient’s portion will be collected in order to make an appointment.

  • Treatment plans are discussed with the parent present. 

  • To protect your child’s privacy no telephone calls are to be accepted to discuss in any way or form treatment plans.

  • Only the child with a parent/guardian is to be present inside the dental operatory.

  • These are guidelines to be observed by all that visit us, but do they are not all inclusive.

  • For more information please ask our Staff.

New Patient Forms

For your convenience prior to visiting our office, please click on the below link to print the New Patient Health Form, complete the information and bring it with you to your first visit.

To print the form you will need Adobe Acrobat Reader.  If you do not have Adobe Acrobat, please click here to download it for free to your computer.

 

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Pediatric Dentist, San Antonio, TX 78249 - Dr. Sheila Hernandez.  Servicing patients in the surrounding cities and areas of San Antonio, Texas.

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