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Email: Fax: 865-691-0836
9700 Westland Drive #101, Knoxville, TN 37922
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First Visit

Patient Forms

Dear Parent,
Thank you for choosing our office for your child’s dental care. We will do everything possible to insure that your child has a wonderful experience and to honor the trust that you have placed in us.

Since we give you quite a lot of information over the phone regarding this first visit, we thought it would be a good idea to go over those things with you in writing.

Kids with Balloons at the Pediatric Dental Office Serving Farragut, Maryville, Lenoir City and Knoxville

First Appointment

If this is your child’s first visit with us, we ask that you arrive 15 minutes before your appointment time to complete paperwork. If you have already gotten the forms off of our website and completed them, there is no need to arrive early. We require that you bring your dental insurance card with you at the time of your appointment. We will make copies of your insurance card and driver’s license.

If your child is transferring from another dentist or coming in for a “second opinion exam”, we need any recent x-rays sent to us via email or mail before your child’s first appointment.

Most of a child’s first check-up visit is spent with the hygienist. She will take as much time as is needed to make your child comfortable. After they get their teeth cleaned and have xrays taken, Dr. Jeff will do an oral exam and apply fluoride. If you have any questions or concerns, they will be addressed at that time.

Although we encourage the children to come back to the treatment area by themselves because it allows us to develop a one-on-one relationship with them, you are more than welcome to join them if you wish. Because of space limitations, we only allow one parent to go back. If you have other children who are not coming for treatment, you will need to bring another adult to supervise them out in the front waiting area. We do not allow minor children to be dropped off for treatment.

All of our cleanings are done by Registered Hygienists.

We now offer outpatient general anesthesia at Children's West Surgery Center, which offers anesthesia by specialized pediatric anesthesiologists.

Tooth Fairy LetterTooth Fairy Letter

Your child will love getting this fun letter personalized for them from the Tooth Fairy. Not only is it fun, but it also helps educate them on the importance of proper oral health care and routine visits to the Tooth Fairy’s friend, the dentist.


Personalized Coloring BookPersonalized Coloring Book

Your child will love having their own personalized coloring book from the dentist, and they can use it for years to come or you can preserve it in their scrapbook or baby book. It is fun and easy to use, try it yourself by clicking on one of the coloring books below.

Boy Coloring Book   Girl Coloring Book


Motivational Charts

Your child will enjoy healthy dental habits when they use these Motivational Charts.

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