Premier Dental of Carlisle
Patient Resources
(Click on a Clipboard Link Below for the Forms You Need)
For your convenience, we have grouped together the most commonly used forms and resources, below. Simply select the type(s) of forms to complete by clicking on the applicable clipboard icon. If you need assistance reading or understanding the forms, please contact our Premier Dental of Carlisle office.
New Patient Intake Forms
If you are a new patient who has not yet been seen at our office, please click on the “New Patient” clipboard link and complete/submit the patient information forms. The forms will open in a new tab and be submitted securely to our office. Thank you.
HIPAA Privacy Notice
We maintain a HIPAA (Health Insurance Portability and Accountability Act) compliant privacy policy. Please click on the “HIPAA Notice of Privacy Practices” Clipboard to view, download and print our Privacy Policy. The forms will open in a new tab and be submitted securely to our office. Thank you.
Financial Policy
To see our payment policy or how we help you file an insurance claim, please click on the “Financial Policy” Clipboard to learn about payment options and to enjoy discounted billing by joining the PDC Dental Membership Club. Thank you.
What Our Patients Say About Us
CONTACT
Street Address:
35 Westminster Drive
Carlisle, PA 17013
Phone:
717-243-2372
HOURS
MON: 8 AM – 5 PM
TUES: 8 AM – 5 PM
WED: 8 AM – 5 PM
THURS: 8 AM – 5 PM
FRI: Hours by Request
SAT/SUN: Closed
