Patient Form Downloads

For your convenience, all new patient paperwork can be accessed online. Simply download each form below, complete the forms at home, and bring the forms with you to your first appointment. If you should have any difficulty downloading these forms, please call our office and a knowledgeable staff member will be happy to assist you.

 

Medical History Form

Dental Insurance Update Form

Text & Email Information Form

Financial Policy

HIPAA Form
Post Operative Instructions
  Post Extraction Instructions
   
   
   
   

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Our Office

Dr. Ben Timmerman
436 Furys Ferry Rd.
Augusta, GA
30907

Phone: (706) 229-7676

About Us

Whether you need dental implants, Lanap laser treatment, or a cosmetic dental procedure, we promise to provide you with exceptional care as we enhance the natural beauty of your smile. If you have any questions, concerns, or would like to schedule an appointment, please contact us today. We look forward to providing you with the personal care you deserve.