For our patients
Forms, consents, and what to do after your visit.
Everything you need before, during, and after your appointment — collected in one place. Print, download, or read on screen.
PDFs uploading as we transition records to the new site. If a link below is not active yet, please call the office and we’ll send it to you directly.
Before your visit
New Patient Forms
Complete these forms ahead of your first appointment to save time at check-in. Bring your photo ID, insurance card, and the referral letter or imaging your dentist provided.
Download the form, fill it in on your computer or phone, save it, and email it to info@dcperio.com or bring it to your visit.
Health History Form
Your medical history, medications, and insurance, with a Medication List page.
Authorization for Release of Information
Choose who may receive your health information, how we may contact you (voice mail, email, text), and whether we may use your photos.
Financial Consent
Payment and insurance responsibility, and our returned-check, collection, and broken-appointment fees.
Medical Clearance Form
Our request for a medical evaluation from your physician. Page 2 holds your release and the physician's report.
After your procedure
Post-Operative Instructions
Take these home after your visit. Call the office at (202) 659-3500 with any urgent concerns — we have on-call coverage after hours for our patients.
After Implant Surgery
What to expect, how to manage discomfort, and warning signs to call about.
Call (202) 659-3500 or email info@dcperio.com for this form and we’ll send it to you directly.
After Full-Arch Surgery
Diet, oral hygiene, and follow-up cadence for the first 90 days.
Call (202) 659-3500 or email info@dcperio.com for this form and we’ll send it to you directly.
After Bone Grafting
Activity restrictions, sinus precautions when applicable, and graft maturation timeline.
Call (202) 659-3500 or email info@dcperio.com for this form and we’ll send it to you directly.
After Gum Grafting
Diet and activity for the first two weeks; what the graft site should look like as it heals.
Call (202) 659-3500 or email info@dcperio.com for this form and we’ll send it to you directly.
After LANAP Therapy
Recovery timeline, diet restrictions, and at-home care while the gums reattach.
Call (202) 659-3500 or email info@dcperio.com for this form and we’ll send it to you directly.
After IV Sedation
Recovery and supervision requirements for the rest of the day.
Call (202) 659-3500 or email info@dcperio.com for this form and we’ll send it to you directly.
Understanding your care
Patient Education
Plain-English overviews of the procedures, diagnoses, and concepts we discuss most often in the consult room.
What Specialty Periodontics Means
Why your dentist referred you to a periodontist, and how we work together on your care.
Single vs. Multi-Tooth Implants
When implants make sense, when a bridge is the right call, and the long-term math.
Full-Arch Implant Options Compared
All-on-4, All-on-X, Hybridge, and implant-supported overdentures — what they share, where they differ.
Bone Grafting Explained
Why a site might need rebuilding before implants and what the timeline actually looks like.
Periodontal Disease Staging
Gingivitis to Stage IV periodontitis — what each stage means and what treatment looks like.
Insurance & Financing
How medical and dental insurance treat specialty work, and the financing options we offer.
Talk to us directly
A question that’s easier to ask on the phone.
Our front desk can pull your chart and send the right consent or post-op instructions to your email in a few minutes. Call us during business hours.
Or call: (202) 659-3500