Dr. Ralph R. Reynolds

Oral and Facial Surgery

Loveland CO

970-663-6878

What to Bring to First Visit at Oral Facial Surgery Office

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First Visit

Please assist us by providing the following information at your first visit:

REFERRAL SLIP:

Your dentist will complete a referral slip and either mail, email or give it to you to bring to your appointment. This provides us with the correct information about the treatment you need.

X-RAYS:

If your dentist or physician has taken x-rays, you may request that they forward them to our office by mail or electronically. If there is not enough time, please pick them up and bring them to our office. Sometimes the films are inadequate for the type of procedure necessary. If additional films are necessary, they can be taken at our facility.

MEDICAL HISTORY AND MEDICATIONS:

Please bring a list of medications, vitamins and herbal medicines that you are presently taking. Please alert the office if you have a medical condition that may be of concern prior to surgery (i.e. diabetes, organ transplants, artificial heart valves and joints, rheumatic fever, etc.) or if you are currently taking any medication (i.e. anticoagulant therapy, blood thinners or immunosuppressants, antirejection medication, etc.)

INSURANCE:

Please bring your insurance information with you so that we can expedite reimbursement. The following information is essential:

  1. Name of insurance company
  2. Address where claims are processed
  3. The policy holder’s name
  4. The policy holder’s place of employment
  5. The policy holder’s date of birth
  6. The policy holder’s social security or policy ID
  7. Policy group number