What to Expect

Thanks For Choosing Three Rivers Dental Group!

Here at Three Rivers Dental Group, our doctors understand that going to the dentist can often be met with fear. We’ve developed an environment designed to comfort you and ease your fears so that you can be on your way to a beautiful, healthy smile. You can feel confident in the level of care you’ll receive here and you’ll be shocked at just how easy going to the dentist can be.

What To Bring

Completed new patient registration forms
Dental insurance card
Legal photo ID
A list of current medications

What Happens Next?

Arrive at least 15 minutes before your first appointment to give our staff the opportunity to process your new-patient paperwork. Our team will introduce you to your friendly dental staff and discuss your reason for visiting. Our doctors will discuss sedation opportunities with you to ease any anxiety you may have before they complete your exam. WE DO NOT PICK AND POKE AT YOU!

Are You A New Patient?

Fill Out Form Below or Download Here New Patient Form

New Patient Form

This form is only for new patients to request an appointment. Please DO NOT use this form to request dental records. All dental record requests must be requested by phone from the office where you are a patient. THIS FORM IS FOR NEW PATIENTS ONLY. IF YOU ARE AN EXISTING PATIENT, PLEASE CONTACT THE OFFICE YOR ARE A PATIENT WITH DIRECTLY TO SCHEDULE AN APPOINTMENT.
Patient Name*
Status
Street Address
City
State
Zip
Important Contact Information
Type of Primary Phone*
Primary Phone Number*
Alternate Phone Number (wife/husband)
Email*
If you have insurance who is your carrier and what is the group number*
We do not accept Access/Avesis, Gateway, UPMC for You, UPMC For Life, Highmark Wholecare, or HMO/DMO dental insurance plans
Emergency Contact Name
Emergency Contact Phone #
Priority & Preferences
Office You Wish to Be Seen*
What is your dental priority?*
Email
This field is for validation purposes and should be left unchanged.

PA Department of Health Ruling Regarding Dental Appointments

What to Expect

Thanks For Choosing Three Rivers Dental Group!

What To Bring

What Happens Next?

Are You A New Patient?

New Patient Form

Important Contact Information

Priority & Preferences

Our Offices

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