Patient Forms








What you will need for your visit

To prepare for your visit, we ask you to fill out several forms before your appointment.

Health History Form

Please print this form, fill it out and bring it with you to your appointment.

Hall Periodontics Health History Form Health History Form

Patient Acknowledgment and Consent Form

We also need you to fill out a Patient Acknowledgment and Consent Form. This form outlines our privacy practices about your patient information. You can print a copy of this form and bring it to your office with you for your appointment.

Hall Periodontics Health History Form Download/Print the Patient Acknowledgment & Consent Form

Dentist Referral Form

You may also have a referral form from your general dentist. Please bring that with you.

Insurance Cards

When you visit our office, please bring your insurance cards with you and be prepared to pay your co-pay at the time of service. If you’re unsure of your co-pay amount, please contact your insurance company before your appointment. We participate with Delta Dental and, while we don’t participate with other insurance companies, we’ll be happy to file a claim for you. To file an insurance claim for you we will need your social security number, so please be sure to include it when you fill out your Health History Form. If you don’t wish to provide us with your social security number, we do ask you for full payment at the time of service.

Thank you. We look forward to seeing you soon.

– John C. Hall, D.D.S., M.S.



The best reference

IS A GOOD WORD


I have a lot of confidence in Dr. Hall and his staff.  He has surrounded himself with people who have the same level of caring and concern.


Pete


My gums were in bad shape after a lot of years of smoking. Dr. Hall and his staff have improved my gums dramatically. I definitely feel better after the oral surgery.


Christopher


Dr. Hall seems like a great guy. He’s very concerned about your well-being. He even calls to follow up and see how you’re doing.


Christopher


Not only is everyone very nice, but the office is very prompt.  I never had to wait more than a couple of minutes.


Maude






Get in touch

Contact us now

We have two locations for your convenience, call to schedule your visit today!


4944 Skyview Ct.

Traverse City, MI 49684
231-946-2910



400 W. Main Street, Ste 113

Gaylord, MI 49735
989-731-2700



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