Patient Forms

For your convenience, we have supplied our Health History Form  and our Privacy Practices Form in pdf format.  If you wish, click on the link below to print the form. Give us the completed form at your next office visit.  We look forward to meeting you!

HIPAA Consent Form

Patient Information Registration

Online Patient Registration

Comprehensive Dental Services

Helpful Articles

Dr. Brian Gallagher Explains the Importance of Having a Proper Bite

The reason it is so important for a patient to have a proper bite is that certain teeth are meant to do certain things, and when they are asked to go beyond their intended function, there can be problems with teeth breaking.

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Posted 01/18/2020

West Park Dental Offers Interest Free Financing

A variety of payment options are available to patients here at West Park Dental in Cleveland. We accept coordination of payment via insurance, personal checks, and all the major credit cards including Discover and American Express. We also offer financing with CareCredit.

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Posted 01/11/2020

Tooth Colored Fillings Offer Patients Many Advantages

The main point of creating a filling is to create a very durable tooth. Scientists use the term “newton centimeter” to describe the bite force placed on teeth during compression or chewing.

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Posted 01/04/2020

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