Maggie A. Kleem, DDS
352 West Bagley Rd
Berea, OH 44017
(440) 239-8389
  • Home
    • Like Us on Facebook
    • Letter regarding COVID-19
  • Patient Info
    • No Dental Insurance
    • Payment Options
    • New Patient Forms
    • Patient Concerns
    • Emergencies
    • Before & After
  • Services
    • Invisalign
    • Botox/Xeomin
    • Juvederm
    • AAFE
    • Crowns/CEREC
    • Whitening
    • Fillings
    • Veneers
    • Bridges
    • Dentures
    • Partial Dentures
    • Implants
    • Root Canal
  • Facts
    • Children Care
    • Dental Glossary
    • Dental Fun Facts
  • Staff
    • Tour
  • Reviews
  • Contact
    • Directions


New Patients:

For your own convenience and in order to save you time and speed up your first visit experience - especially if you are a guardian of other family members, you can now download the needed forms at home, complete the forms and bring them into the office with you and we will get you started right away!
Simply follow steps 1,2,3 below
Be sure to bring ALL the completed forms with you for your first visit.


1

New patient and Medical History forms (Print, Complete and Sign)

Patient Registration
Medical History

  2

HIPAA, Financial and Appointment Policy (Read Completely and Sign Form)

HIPPA, Financial and Appt. Policy, Signature Page

  3

Disclaimer (Be sure to Read Completely)

Disclaimer

* Please bring ALL the above forms at your first visit *
Powered by Create your own unique website with customizable templates.