Patients

Forms and Downloads


New Patient Forms

A collection of documents you'll need to complete for your first visit.

FormNew Patient Form Part 1, Part 2
Patient information and medical history for all patients.

Form Medical Release Form
HIPAA Authorization Form


Helpful Information

Information on various topics.

Form Notice of Privacy Practices
Information on privacy issues for patients.

Form Dental Insurance Benefits
Information on dental health insurance and its benefits.


Your Dental Health

A collection of documents directly related to dental health and issues.

FormAnalyze Your Smile
Do you have concerns about the appearance of your smile?
Review your smile with this checklist.

Form What is Endodontics?
Learn about root canal surgery.

FormTMJ Home Care Instructions
Instructions on Temporomandibular Joint Management.

IconHours and Location
Monday - Thursday*
8:30 am - 5:00 pm

Friday
7:30 am - 1:30 pm

 *limited evening hours also available

970 W. Wooster Suite 125
Wood County Medical Building
Bowling Green, Ohio 43402
IconContact Information
Office
419.352.2569

Email
smiles@bgdentistry.com

IconFrequently Asked Questions
Will my insurance pay for my treatment?
Can I make payments over time for my dental care?
Do you take my insurance plan?
Are you taking new patients?
See All FAQ
IconTips
Dental decay prone people often consume too many simple sugars, such as those found in soft drinks. Did you know that the average 16oz bottle of soda pop contains 10 teaspoons of sugar and sports drinks contain up to 6 teaspoons of sugar?
Most bottled waters and home treatment systems greatly reduce or eliminate the decay preventative effects of optimally fluoridated water (1.0 ppm). People without access to fluoridated water should take fluoride supplements. This is especially important in children and anyone experiencing a dry mouth.
Cavity Killer - If you tend to get cavities, chew on this: Gum that is sweetened with xylitol can help prevent tooth decay. Study participants who chewed on gum with xylitol after meals had far fewer cavity-causing bacteria in their mouths five minutes afterward than people who chewed gum sweetened with sorbitol or people who didn't chew gum at all. Check the label on your favorite gum to see if it contains the cavity-fighting ingredient.
See All Tips (4)