Patient Forms, Map and Directions to Modesto Office
Your first visit to Dennis J. Schmidt, D.D.S. establishes a vital foundation for our relationship with you. During the first visit, we make sure to obtain important background information, like your medical history, and give you time to get to know your doctor. To understand what to expect for your first visit to our practice, please read through this page. You'll find all the practical information you need, such as a map and directions to our office, practice hours, payment policies and more. There's also background information about our committed staff and our first visit procedures. You can even save some time at your first visit by printing out and completing the patient forms in advance of your appointment.
Mission Statement
To provide comprehensive family dental care, including preventive, restorative and cosmetic dentistry, performed in a calm, comfortable environment.
Patient Forms
You may access the following form to assist us with your care. Please print and fill out the following form, then bring them to your appointment.
- Health History Form
- Office Financial Policy
- Late and Missed Appointment Policy
- Acknowledgement of Receipt of Privacy Practice
- Acknowledgement of Receipt of Dental Materials Fact Sheet
- Consent for Communications
In order to view or print these forms you will need Adobe Acrobat Reader installed. Click here to download it: 
What To Expect On Your First Visit
Thank you for choosing our office, where we have created a comfortable environment in which you can feel confident about the dental care you receive. During your first visit, our objective is to get to know you better, to become familiar with your past dental experiences and to establish a treatment plan that will best meet your dental needs.
When you arrive, please be prepared to complete all insurance and health information forms. We ask that you fill out several forms that will get you acquainted with our office. Also, please assist us by providing the following information:
- Any panoramic X-ray taken within the past six months
- If you have dental insurance, please bring your insurance card. This will enable us to give you an estimate of your costs.
Your initial appointment will last approximately one hour. In most cases, we will clean your teeth, and X-rays will be taken. Our dentist will perform a thorough exam and evaluate the diagnostic records, which help in diagnosing teeth decay, periodontal problems, jaw problems and any signs of oral cancer. After the examination, our dentist will provide a detailed summary that outlines any existing dental problems and proposed treatment. Take-home oral hygiene instructions will also be provided, along with any suggestions to help you care for your teeth.
We believe that good dental care begins with open communication, and we promise to speak candidly with you. Working together, we can achieve a true partnership with one common goal – keeping your teeth, gums and jaw joints healthy!