Business Office Hours

Our office is open on Monday, Tuesday and Wednesday from 8:00 am to 1:00 pm, and then from 2:30 pm to 5:00 pm.  We are open on Thursday from 8:00 am to 2:00 pm. We are closed on Friday.

Schedule Your First Visit

If you would like to schedule a first appointment with Dr. Sandlin, you can speed up the check-in process by completing our New Patient Survey below.  A staff member will contact you to confirm your submission and schedule your appointment.

• About You
Patient Name:   Age:
Parent Name:
(if patient is a minor)
Street Address:
City, State, Zip:
Primary Phone:
Secondary Phone:
Email:
   
Referred by: Name or explain:
• Is there anything specific that you would like the doctor to look at during your visit?
Pain:
Tooth  Jaw  Gums
Describe your problem in detail:
For How Long?
(Be specific when describing the location, cause and duration of your tooth/jaw pain.)
What pain medications are you currently taking?
Other:
Awake Nights Swelling Fever
Sensitivity Broken Tooth Lost Filling
Bleeding Gums Lack of Mobility Cosmetic
Temporo Mandibular Joint (TMJ) Other (specify)
• Your dental history
When and what type were
 your last dental x-rays?
Date of last cleaning:
Do you require
 pre-medication?
May we request a copy of
 your dental records from
 your previous dentist?
Dentist Name: Phone Number:
• If we will be filing with your insurance carrier...
Insurance company name:
Group ID / Number:
Insured's name:
Insured's ID Number:
Do you have any questions about our office?

You will have an opportunity following submission to check your information and make corrections, if necessary.