Patient Forms

Patient Forms for Delaware Periodontics

At Delaware Periodontics, Dr. Klassman and our team strive to deliver optimum care for patients in and around Wilmington, Delaware. It is our goal to ensure the health of our patients’ gums and teeth. We do so by offering excellent periodontal therapy and treatments. Our team also wants to educate our patients on the importance of their gums and how periodontal disease can be detrimental for their oral health. You can feel confident knowing that you are working with periodontal experts and in great hands at Delaware Periodontics.

Important Periodontics Paperwork

In order to deliver such outstanding care, we require each patient to provide their medical history and records to our periodontal staff and Dr. Klassman. Providing us with such information will enable us to structure our periodontal treatments to fit your medical needs and comprehend your oral hygiene habits.

We appreciate you taking the time to fill out these forms. Once you have completed them, you may bring them to your appointment, fax them to 302.652.6294, or mail them to our Wilmington office at 1110 N. Bancroft Pkwy, 19805.

If you cannot submit the forms online or do not want to download Adobe Acrobat Reader, please feel free to print our forms below, fill them out, and bring them to our office.

  • Patient Information Form PDF

If you’re unable to open PDF files, you can get Adobe Reader® for free.

Schedule Your First Appointment With Delaware Periodontics

For high-quality periodontal therapy in Wilmington, DE, and nearby surrounding areas such as Dover, please contact the periodontal specialists at Delaware Periodontics. Dr. Klassman and our team will be more than happy to provide an initial exam of your teeth and gums, discuss your treatment options, and answer any questions you may have. To schedule your first visit, please contact our office directly or book an appointment online. We can’t wait to help rejuvenate and restore your teeth and gums with our periodontal therapy!