Rohn Falter DDS, PS Fairway Dental Care 1716 S Gold Street Centralia, WA, 98531

New Patient Forms

Thank you for selecting our dental team!

So we can provide you with the best possible care and to prepare for your dental visit with us, we ask that you print and fill in the requested  information on the new patient paperwork below. Please bring these completed forms with you on your first visit(Click on your preferred format to download the following forms.)

pdfdownloadlogoMS_word_DOC_iconWelcome & Health History

pdfdownloadlogoMS_word_DOC_iconNotice Of Privacy Practices

pdfdownloadlogoMS_word_DOC_iconAcknowledgement of Privacy Practices

pdfdownloadlogoMS_word_DOC_iconFinancial Policy

“I had my first visit to your office today, and I have to say that it was the best experience I’ve ever had at a dentist office. You have created an amazing atmosphere, and the extra things like paraffin wax spa treatments are very relaxing. I was very impressed by and appreciate the digital visual aids while explaining what treatments that were recommended and why they are necessary. And the best thing was the teeth scrapping stuff didn’t hurt, seriously I think the best part of the visit was not having my gums jabbed repeatedly by that little metal scrapping tool. You have far surpassed my previous favorite dentist, and I’m actually looking forward to my next visit.”

Carrie R
Fairway Dental Care Patient

We Look Forward to Serving You!

Please contact us with any questions regarding the new patient forms.