Welcome to Russell, Maynard, and Bode Family Dentistry
- PLEASE COMPLETE THE ONLINE PATIENT REGISTRATION PRIOR TO YOUR FIRST VISIT.
Please assist us by providing the following information at the time of your initial appointment:
- Your referral slip and any X-rays if applicable
- A list of medications you are presently taking
- Medical and dental insurance cards and photo ID
IMPORTANT: A parent or guardian must accompany all patients under 18 at the initial appointment.
Please alert the office if you have a medical condition that may be of concern prior to surgery (i.e. diabetes, high blood pressure, artificial heart valves and joints, rheumatic fever, etc.) or if you are on any medication (i.e. heart medications, aspirin, anticoagulant therapy, etc.) or require medication prior to dental cleanings (i.e. antibiotics, for pre-med.).
- Patient Registration Forms
- Request an Appointment Online
- Driving Directions
- Insurance Information
- Financial Information