Madison Periodontics & Implantology
Dr. Fanasy P. Jefcoat
Board Certified Periodontist

Patient Information

Your First Visit

Please assist us by providing the following information:

  • Your referral slip and x-rays from your referring dentist.
  • A list of medications you are currently taking (Note: You can fill out your patient registration and medical history form on this website under Online Forms.).
  • If you have dental insurance, please bring any forms or insurance cards with you to the appointment.

Please notify the office if you have a medical condition that may require antibiotic medication prior to your visit and examination such as artificial heart valves or a history of joint replacement surgery. 

At your initial visit, we will complete an in-depth medical and dental health history and a thorough examination including oral cancer screening, measurements of the gums, bone and loose teeth, your bite and jaw joint and other signs of periodontal disease.

Testimonials

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