Dentist in Towson, MD
New Patient Forms, Towson MD Dentist

We offer a 2-hour, comprehensive exam for $79 (usual charge $264).
This exam allows us to gather all of the information Dr. Toomey will need,
in order to give you an accurate assessment of your dental health and options.

It includes:
Periodontal Charting
Digital X-Rays
Oral Cancer Screening
Bite Evaluation
Consultation with Dr. Toomey

Understanding your dental health should be easy.
We only require records if you have an extensive dental history.
We'll gather everything we need!

The New Patient form is in PDF format. Click on the link to download the form.
Then print the form, fill it out, and bring it with you on your first visit.

Adobe PDFNew Patient Form

Adobe ReaderIf you do not have Acrobat Reader,
get a free copy by clicking on this link.

In addition to the form above, please read our Notice of Privacy Practices and then print and sign
the Acknowledgement of Receipt of Notice of Privacy Practices. Bring it with you on your first visit.

Discount for active military, police, firefighters, and EMTs.

  Toomey Dentistry | 658 Kenilworth Drive, Suite 105 Towson, MD 21204 | 410-823-6000 Baltimore Dentist Dr. Christopher Toomey Google Plus

© Copyright 2002 - Dental WebSmith, Inc. and Christopher P. Toomey, DDS, PA. All rights reserved worldwide. Disclaimer: The information provided within is intended to help you better understand dental conditions and procedures. It is not meant to serve as delivery of medical or dental care. If you have specific questions or concerns, contact your health care provider.

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