Patient Forms, Map and Directions to Royal Oak Office
Your first visit to Denise Acierno, 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.
Our practice is working together to realize a shared vision of uncompromising excellence in dentistry.
To fulfill this mission, we are committed to:
- Listening to those we are privileged to serve.
- Earn the trust and respect of patients, profession and community.
- Exceed your expectations.
- Ensure a creative, challenging and compassionate professional environment.
- Strive for continuous improvement at all levels.
Please print and fill out these forms so we can expedite your first visit:
- Patient Information Form
- Patient Medical History Form
- Patient Dental History Form
- Child's Registration
- Payment Policy
- Acknowledgement of Receipt of Notice of Privacy Practices
- Notice of Privacy Practices
In order to view or print these forms you will need Adobe Acrobat Reader installed. Click here to download it.
What To Expect
When you walk into our practice you are welcomed into our comfortable seating room that offers several amenities to help you relax before your appointment. An array of the most current magazines covering several areas of interest are displayed for your reading pleasure. Freshly brewed coffees, teas, and cappuccinos are offered to all patients for refreshment. If time is an issue, which for many of us it is, there is no need to worry about having your patient forms filled out in advance. You can take the time to fill out all needed forms in our seating room while you sip on your coffee. Of course, you can always choose to print out the needed forms from our web site and fill them out before hand and bring them with you or email them to us prior to your appointment. We want you to be relaxed and comfortable, after all, this may be the only chance to relax during your busy day.
You will be greeted and taken back to your personal operatory room that is equipped with television, Alexa,or radio to choose from. Dr. Acierno will listen to and discuss all of your concerns prior to beginning treatment. While your treatment is being carried out we offer a paraffin wax hand treatment. Care packages are given to all hygiene patients before departing. When your treatment is completed, directions for after care are given and you are assisted to our front desk area where future appointments can be set up if needed.