Patient Forms
Please take a moment prior to your scheduled appointment to download our patient forms. We ask that you complete the forms and either email them back to us or bring them with you to your appointment so we may better assist you in a timely manner. Thank you for your confidence in our office, we look forward to assisting you with all your dental needs.
Welcome Back Letter
COVID 19 Patient Screening Form
COVID 19 Questionnaire
New Patient Pediatric Form
New Patient Pediatric Financial Form
HIPAA Form
Pediatric Local Anesthesia Form
Pedicatric Medical Update Form
Fantastic pediatric dental office. From the colorful fish tank in the reception area, to the fun colors, decals and color-coordinated cabinetry and accessories around the office, this place makes kids and parents alike feel at home. My kids were excited to come back for their second check up today. The dentists and support staff are very welcoming and friendly. They have comfy and colorful exam chairs with TVs above each one to distract the children. Brilliant!
Dariana
It really doesn't get much better than this. The staff and the doctors are incredible. Dr. Loewen is so good with the kids. My kids always have a great experience here. My 6- year old was having a hard time with the bitewings for the x-rays and to watch how patient and supportive the staff was with him through the whole process was heartwarming. We are so lucky to have such high quality services here in the Palisades. A+.
Seem
This office is amazing! We had our first appointment today for my 15 month old daughter (who normally has anxiety when placed in new environments & meets strangers) but she absolutely loved it here! Dr. Loewen is so warm, friendly and inviting that my daughter allowed her to examine her mouth without any tears or fussing. It was incredible. The office atmosphere is phenomenal - from the aquarium to the sleek equipment - I really wish I could go here for my dental cleanings! Highly recommend.
Christine
A wonderful visit. My 3 year old had the time of his life. He got to watch some cartoons, got to feed the fish in the giant aquarium in the waiting room. Went home with a toy he got to choose and a pin wheel. I finally had to turn down the balloon offer out of fear that they were spoiling him so much. Oh, and we also had a dental exam too, complete with brushing, flossing, the works... Dr. Loewen was extremely patient, she showed my son exactly what she was about to do. She let him test out all the equipment and the result was resounding success. I thought he'd never want to leave. I'm so excited to have found this office!
Liuba
My 4 year-old daughter always has a wonderful experience. Dr. Loewen and the staff put her at ease and she loves being able to watch cartoons while they clean her teeth. She actually looks forward to going to the dentist!
Brett
Perfectly done. My son had a terrible experience at another dentist so he was very anxious about getting a filling. The PPPD team did a fabulous job ! Happy to report one less child terrified of going to the dentist. Thank you so much.