Patient Forms
Thank you for choosing Gordon Dentistry. We strive to provide you with the best possible dental care. The following forms are designed to help us meet all your healthcare needs.
You may complete the Patient Information forms on your computer, then please print and bring with you to our office.
Please fill out the appropriate form completely. If you have any questions or need assistance, please ask us -- we will be happy to help.
Click on the links below to access the forms:
New Patient Information, Medical History and Dental History Form
This notice describes how medical information about you may be used and disclosed and how you can get access to this information.
The American Heart Association updated their recommendations for antibiotic prophylaxis to prevent infective endocarditis in April 2007. The following conditions warrant antibiotic prophylaxis: prosthetic cardiac valves, history of previous infective endocarditis, severe or unrepaired congenital heart disease, completely repaired congenital heart defect with prosthetic material or device during the first six months after the procedure, repaired congenital heart disease with residual defects at the site or adjacent to the site of a prosthetic patch or prosthetic device, cardiac transplantation recipients who develop cardiac valvulopathy. Patients with a history of heart attack or stents or bypass surgery generally do not require antibiotic prophylaxis.