What to Bring
- Photo identification
- Insurance information if applicable
- Medication list
- Relevant dental records
- Questions or concerns
- Information about current symptoms
New patients
Your first visit, made clearer.
Start with what concerns you most, then review findings, priorities, options, and estimated costs before scheduling treatment.
What to Expect
- Conversation about concerns
- Health-history review
- Examination
- Necessary imaging
- Discussion of findings
- Treatment priorities
- Cost estimate for recommended care
Insurance and payment, explained plainly.
Heritage Dental Studio is presented as an in-network or participating provider with many common PPO plans. A real practice would verify benefits and explain estimated patient responsibility before treatment.
Payment Options
Major payment cards, a fictional financing option, Heritage Care Plan, and written treatment estimates.
Heritage Care Plan
A fictional $39 per month membership concept for uninsured patients, including routine exams, cleanings, X-rays, one emergency exam, and listed savings on eligible treatment.
Sample form previews.
These are downloadable-looking placeholders only. The site does not collect health information.
New Patient Intake
Sample demographic and visit-preference sections for portfolio demonstration.
View noticeRecords Request
Sample transfer checklist for patients bringing previous dental records.
View noticeFinancial Policy
Sample overview explaining estimates, timing, and payment responsibilities.
View notice