New Patients

Patient Forms, Map and Directions to Bettendorf Office

Your first visit to Dentistry Unlimited establishes a vital foundation for our relationship with you. During the first visit, we make sure to obtain important background information, like your medical history, and give you time to get to know your doctor. To understand what to expect for your first visit to our practice, please read through this page. You'll find all the practical information you need, such as a map and directions to our office, practice hours, payment policies and more. There's also background information about our committed staff and our first visit procedures. You can even save some time at your first visit by printing out and completing the patient forms in advance of your appointment.

Mission Statement
Dentistry Unlimited provides quality dentistry for people of all ages. We offer a wide range of dental services using state-of-the-art technology, including preventive dentistry, cosmetic dentistry, restorative dentistry, reconstructive dentistry, and orthodontics. We pride ourselves on our patient-centered practice and do everything possible to make dental visits pleasant. Our focus is to educate our patients to be partners in the maintenance of healthy mouths and the creation of beautiful smiles. We have earned the loyalty of our patients, many of whom have been with us since our practice was first established.

Our pediatric dental practice is a specialty practice. We are expressly dedicated to protecting the dental health of children. Our services in children's dentistry include monitoring growth and development, preventive techniques, interceptive orthodontics, and behavioral management. We treat healthy children as well as children and adults with special needs.

Patient Forms
Please print and fill out these forms so we can expedite your first visit:

  • Medical History - [WORD] [PDF]
  • Adult Registration Form - [WORD] [PDF]
  • Child Registration Form - [WORD] [PDF]
  • Notice of Privacy Practices Acknowledgement - [WORD] [PDF]
  • Office Policies - [WORD] [PDF]

In order to view or print these forms you will need Adobe Acrobat Reader installed. Click here to download it.

What To Expect
Being well-prepared for your appointment will ensure that the doctor has all of the needed information to provide the best possible care for you. It also will help relieve any unnecessary anxiety you may be feeling. Educate yourself on your symptoms by reviewing the content on this Web site. Also, take some time to review our staff page and familiarize yourself with the doctors. We look forward to your first visit.

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