NEW PATIENT INFORMATION & FORMS

NEW PATIENTS

Our Mission, Map and Direction to La Grande Office

Your first visit to Eli Mayes Dental 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 commited 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.

MISSION STATEMENT

Our practice is commited to providing excelllent dental care in a relaxed and professional enviroment.

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 expectations.
Ensure a creative, challenging and compassionate professional enviroment.
Strive for continuous improvement at all levels.

WHAT TO EXPECT

Being well-prepared fro your appointment will ensure that the doctor has all of the needed information to provide the best possible care for you. It also will help relieve any unnecessary anxiety you may be feeling. Educate yourself on your symptoms by reviewing the content on tis web site. Also, take some time to review our staff page and familiarize yourself with the doctors. We look forward to your first visit.

EDUCATION & PREVENTION

At Eli Mayes Dental we focus on our patients' health, educating them on their oral health needs, and how they can be more confident about their beautiful smiles. Our dentists believe prevention and ealry detection are the key to overall long term health. As part of our comprehensive yearly exams we perform digital X-rays, periodontal probing, and oral cancer screenings to help identify dental issues as early as possible.

SAFETY FIRST

We make safety and infection control a top priority. We follow the American Dental Association (ADA) recommendations on sterilization and cross contamination, the Occcupational Safety and Health Administration (OSHA), and the Center for Disese Control (CDC). Our dental practice is also enviromentally conscientious. We have installed special metal collection traps to help ensure safe disposal of metal removed from our patients.

Training & Expertise

Our entire team has extensive dental experience. To augment this experience, all dental team members at Eli Mayes Dental regularly attend continuing education classes, seminars, conventions and meetings within dental professional organizations. We have members of the ODA (Oregon Dental Association, EODS (Eastern Oregon Dental Society), AGD (Academy of General Dentistry), ADAA (American Dental Assistants Association), American College of Dentists, International College of Dentists, and Pierre Fauchard Academy.

Facilities and Equipment

Digital X-rays
Panoramic X-rays
CT Scan
Cerec Crowns

Patient Forms

To help make your visit as smooth and comfortable as possible, we ask all new patients to complete our forms before their appointment. These forms gather important information like your contact details, insurance, and health history, and include our privacy and financial policies. Completing them in advance helps us provide you with the best care from the moment you arrive.

Financial Policy Form

Outlines the office’s payment expectations, including accepted payment methods, insurance responsibilities, billing procedures, missed appointment fees, and consequences for unpaid balances. Patients must agree to these terms before receiving treatment.

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Confirms that the patient has received and understands the office’s Notice of Privacy Practices, which explains how their personal and health information may be used and protected.

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Medical and Dental History Form

Collects detailed information about the patient’s medical conditions, medications, allergies, and dental history to ensure safe and appropriate treatment planning.

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Patient Registration Form

Gathers essential patient information, including contact details, insurance coverage, emergency contacts, and financial responsibility agreements, to establish the patient’s record in the office.

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