New Patient Information

Dentist in Brooksville

At Whispering Pines Dental Lodge, your first appointment includes a thorough exam and gathering any information that our dentist must be aware of in order to provide care specifically to your oral health. We understand that all patients are different and require individualized care. 

Click the Buttons Below to Download Your Patient Forms

Please click to open, fill out online then print (or print first and fill out by hand) the Patient Registration, Dental History, Medical History, Financial Policy, and HIPPA forms below.

Be sure to bring these forms with you when you come for your appointment!

Patient Registration


Dental History


Medical History


Financial Policy


HIPPA





Insurance Accepted - see which providers we accept:

  • Aetna
  • Cigna
  • MetLife
  • Guardian
  • Human
  • Humana Gold Pro
  • Lincoln Financial Group
  • Mutual of Omaha
  • Dental Networks of America (DNOA)
  • Principal
  • Renaissance
  • SunLife
  • United Concordia
  • Delta Dental Premier
  • GEHA
  • United Healthcare




We finance through CareCredit, ask us how



Dental Payment Options




What Every Patient Can Expect

At our practice, every patient can expect to be treated with prompt service at their specified appointment time. Our patients can also look forward to a comfortable experience. We understand that visiting a new dentist can be stressful, which is why our practice works actively to accommodate all patients and alleviate any fears they may have about a new dentist or dentistry treatments. Familiarizing yourself with our practice, services, and our dentist is a great first step to creating a long term and comfortable experience with dentistry.