{"id":38,"date":"2020-07-13T14:45:40","date_gmt":"2020-07-13T14:45:40","guid":{"rendered":"http:\/\/sales3.org\/ssa-dev\/augustadentalarts\/?page_id=38"},"modified":"2021-01-19T19:19:30","modified_gmt":"2021-01-19T19:19:30","slug":"forms-patient-information","status":"publish","type":"page","link":"https:\/\/augustadentalarts.com\/?page_id=38","title":{"rendered":"Forms\/Patient Information"},"content":{"rendered":"<p>[et_pb_section fb_built=&#8221;1&#8243; _builder_version=&#8221;4.3.4&#8243; background_color=&#8221;#f2f2f2 &#8221; custom_margin=&#8221;-6px||||false|false&#8221;][et_pb_row column_structure=&#8221;2_3,1_3&#8243; _builder_version=&#8221;4.3.4&#8243; custom_margin=&#8221;||0px||false|false&#8221; custom_padding=&#8221;||0px||false|false&#8221; locked=&#8221;off&#8221;][et_pb_column type=&#8221;2_3&#8243; _builder_version=&#8221;4.3.4&#8243;][et_pb_text _builder_version=&#8221;4.3.4&#8243; text_font=&#8221;Cardo|700|on||||||&#8221; text_text_color=&#8221;#00cccc &#8221; text_font_size=&#8221;28px&#8221; text_line_height=&#8221;1.3em&#8221; custom_margin=&#8221;-2px||11px|||&#8221; text_font_size_tablet=&#8221;24px&#8221; text_font_size_phone=&#8221;20px&#8221; text_font_size_last_edited=&#8221;on|phone&#8221; locked=&#8221;off&#8221;]Forms and Patient Information[\/et_pb_text][et_pb_text _builder_version=&#8221;4.3.4&#8243; header_3_font=&#8221;Arial|700|||||||&#8221; header_3_text_align=&#8221;left&#8221; header_3_text_color=&#8221;#00cccc&#8221; custom_margin=&#8221;||22px|||&#8221; header_3_font_size_tablet=&#8221;&#8221; header_3_font_size_phone=&#8221;18px&#8221; header_3_font_size_last_edited=&#8221;on|phone&#8221;]<\/p>\n<h3>We Will Work Hard To Maximize Your Benefits! <\/h3>\n<p>[\/et_pb_text][et_pb_text _builder_version=&#8221;4.3.4&#8243; header_3_font=&#8221;Arial|700|||||||&#8221; header_3_text_align=&#8221;left&#8221; header_3_text_color=&#8221;#00cccc&#8221; custom_margin=&#8221;||22px|||&#8221; header_3_font_size_tablet=&#8221;&#8221; header_3_font_size_phone=&#8221;18px&#8221; header_3_font_size_last_edited=&#8221;on|phone&#8221;]<\/p>\n<h3>Financial Policy for Augusta Dental Arts<\/h3>\n<p>We, at Augusta Dental Arts, are proud to be part of a team whose primary mission is to deliver the finest and most comprehensive dental services available today. We are concerned about your dental care and want to ensure that it is performed in a responsible manner. In order to assist you with the investment in your dental health, we are providing the following options from which you can select a plan that best meets your needs.<strong>INSURANCE:<\/strong> We understand the value of insurance benefits and will assist you in obtaining your maximum benefit. We will gladly process your insurance claim for you and will also estimate your deductible and the portion that is not covered by insurance. That amount is due at the time of treatment and may be paid by any of the options below. However, our estimates are subject to final approval by your insurance company and could therefore change the amount due to our office.<\/p>\n<p><strong>INITIAL PAYMENTS:<\/strong> Our office requires a deposit of one half at the start of treatment and payment in full once treatment is complete. No down payment is required with the Care Credit option.<\/p>\n<p>[\/et_pb_text][\/et_pb_column][et_pb_column type=&#8221;1_3&#8243; _builder_version=&#8221;4.3.4&#8243; custom_padding=&#8221;||0px||false|false&#8221; border_radii=&#8221;on|5px|5px|5px|5px&#8221; border_width_all=&#8221;1px&#8221;][et_pb_text module_class=&#8221;contact-now-sidebar&#8221; _builder_version=&#8221;4.3.4&#8243; header_3_font=&#8221;Cardo||on||||||&#8221; header_3_text_align=&#8221;center&#8221; header_3_text_color=&#8221;#00cccc&#8221; header_3_font_size=&#8221;26px&#8221; background_color=&#8221;#000000&#8243; width=&#8221;100%&#8221; custom_margin=&#8221;||-5px||false|false&#8221; custom_padding=&#8221;30px||||false|false&#8221; border_width_top=&#8221;6px&#8221; border_color_top=&#8221;#f2f2f2 &#8221; border_width_right=&#8221;6px&#8221; border_color_right=&#8221;#f2f2f2 &#8221; border_width_left=&#8221;6px&#8221; border_color_left=&#8221;#f2f2f2 &#8221; locked=&#8221;off&#8221;]<img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/augustadentalarts.com\/wp-content\/uploads\/2020\/07\/contact-us-now.png\" width=\"65\" height=\"62\" alt=\"\" class=\"wp-image-134 alignnone size-full\" \/><\/p>\n<h3>Contact Us Now<\/h3>\n<p>[\/et_pb_text][et_pb_code _builder_version=&#8221;4.3.4&#8243; background_color=&#8221;#000000&#8243; custom_margin=&#8221;|6px|5px|6px|false|true&#8221; custom_padding=&#8221;|0px|30px|22px|false|false&#8221; border_radii=&#8221;on|5px|5px|5px|5px&#8221;]<script type=\"text\/javascript\">\n\/* <![CDATA[ *\/\nvar gform;gform||(document.addEventListener(\"gform_main_scripts_loaded\",function(){gform.scriptsLoaded=!0}),document.addEventListener(\"gform\/theme\/scripts_loaded\",function(){gform.themeScriptsLoaded=!0}),window.addEventListener(\"DOMContentLoaded\",function(){gform.domLoaded=!0}),gform={domLoaded:!1,scriptsLoaded:!1,themeScriptsLoaded:!1,isFormEditor:()=>\"function\"==typeof InitializeEditor,callIfLoaded:function(o){return!(!gform.domLoaded||!gform.scriptsLoaded||!gform.themeScriptsLoaded&&!gform.isFormEditor()||(gform.isFormEditor()&&console.warn(\"The use of gform.initializeOnLoaded() is deprecated in the form editor context and will be removed in Gravity Forms 3.1.\"),o(),0))},initializeOnLoaded:function(o){gform.callIfLoaded(o)||(document.addEventListener(\"gform_main_scripts_loaded\",()=>{gform.scriptsLoaded=!0,gform.callIfLoaded(o)}),document.addEventListener(\"gform\/theme\/scripts_loaded\",()=>{gform.themeScriptsLoaded=!0,gform.callIfLoaded(o)}),window.addEventListener(\"DOMContentLoaded\",()=>{gform.domLoaded=!0,gform.callIfLoaded(o)}))},hooks:{action:{},filter:{}},addAction:function(o,r,e,t){gform.addHook(\"action\",o,r,e,t)},addFilter:function(o,r,e,t){gform.addHook(\"filter\",o,r,e,t)},doAction:function(o){gform.doHook(\"action\",o,arguments)},applyFilters:function(o){return gform.doHook(\"filter\",o,arguments)},removeAction:function(o,r){gform.removeHook(\"action\",o,r)},removeFilter:function(o,r,e){gform.removeHook(\"filter\",o,r,e)},addHook:function(o,r,e,t,n){null==gform.hooks[o][r]&&(gform.hooks[o][r]=[]);var d=gform.hooks[o][r];null==n&&(n=r+\"_\"+d.length),gform.hooks[o][r].push({tag:n,callable:e,priority:t=null==t?10:t})},doHook:function(r,o,e){var t;if(e=Array.prototype.slice.call(e,1),null!=gform.hooks[r][o]&&((o=gform.hooks[r][o]).sort(function(o,r){return o.priority-r.priority}),o.forEach(function(o){\"function\"!=typeof(t=o.callable)&&(t=window[t]),\"action\"==r?t.apply(null,e):e[0]=t.apply(null,e)})),\"filter\"==r)return e[0]},removeHook:function(o,r,t,n){var e;null!=gform.hooks[o][r]&&(e=(e=gform.hooks[o][r]).filter(function(o,r,e){return!!(null!=n&&n!=o.tag||null!=t&&t!=o.priority)}),gform.hooks[o][r]=e)}});\n\/* ]]> *\/\n<\/script>\n\n                <div class='gf_browser_gecko gform_wrapper gform_legacy_markup_wrapper gform-theme--no-framework' data-form-theme='legacy' data-form-index='0' id='gform_wrapper_4' ><div id='gf_4' class='gform_anchor' tabindex='-1'><\/div><form method='post' enctype='multipart\/form-data' target='gform_ajax_frame_4' id='gform_4'  action='\/index.php?rest_route=%2Fwp%2Fv2%2Fpages%2F38#gf_4' data-formid='4' novalidate>\n                        <div class='gform-body gform_body'><ul id='gform_fields_4' class='gform_fields top_label form_sublabel_below description_below validation_below'><li id=\"field_4_9\" class=\"gfield gfield--type-honeypot gform_validation_container field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_4_9'>Company<\/label><div class='ginput_container'><input name='input_9' id='input_4_9' type='text' value='' autocomplete='new-password'\/><\/div><div class='gfield_description' id='gfield_description_4_9'>This field is for validation purposes and should be left unchanged.<\/div><\/li><li id=\"field_4_6\" class=\"gfield gfield--type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_4_6'>First Name<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_6' id='input_4_6' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_4_7\" class=\"gfield gfield--type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_4_7'>Last Name<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_7' id='input_4_7' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_4_2\" class=\"gfield gfield--type-email gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_4_2'>Email<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_2' id='input_4_2' type='email' value='' class='large'    aria-required=\"true\" aria-invalid=\"false\"  \/>\n                        <\/div><\/li><li id=\"field_4_3\" class=\"gfield gfield--type-phone gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_4_3'>Phone<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_phone'><input name='input_3' id='input_4_3' type='tel' value='' class='large'   aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_4_8\" class=\"gfield gfield--type-captcha field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_4_8'>CAPTCHA<\/label><div id='input_4_8' class='ginput_container ginput_recaptcha' data-sitekey='6LdLH_kZAAAAAHtdoEjGcLhqwaCCLELQvr8X8oun'  data-theme='light' data-tabindex='0'  data-badge=''><\/div><\/li><\/ul><\/div>\n        <div class='gform-footer gform_footer top_label'> <input type='submit' id='gform_submit_button_4' class='gform_button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='submit' value='Submit'  \/> <input type='hidden' name='gform_ajax' value='form_id=4&amp;title=&amp;description=&amp;tabindex=0&amp;theme=legacy&amp;styles=[]&amp;hash=ab03dd775518f29e9fbb1610aa96530b' \/>\n            <input type='hidden' class='gform_hidden' name='gform_submission_method' data-js='gform_submission_method_4' value='iframe' \/>\n            <input type='hidden' class='gform_hidden' name='gform_theme' data-js='gform_theme_4' id='gform_theme_4' value='legacy' \/>\n            <input type='hidden' class='gform_hidden' name='gform_style_settings' data-js='gform_style_settings_4' id='gform_style_settings_4' value='[]' \/>\n            <input type='hidden' class='gform_hidden' name='is_submit_4' value='1' \/>\n            <input type='hidden' class='gform_hidden' name='gform_submit' value='4' \/>\n            \n            <input type='hidden' class='gform_hidden' name='gform_currency' data-currency='USD' value='Y0uc7qz4Rs+DwRTMeyAZVBl0\/AVm8z5SV52CbOTQhlQX+OrxNAty8nVHtHhLLzgAuLmuTHXakTvojY0eJJVdVMp8JTIeeFL2FROsT81Hdfdc0vw=' \/>\n            <input type='hidden' class='gform_hidden' name='gform_unique_id' value='' \/>\n            <input type='hidden' class='gform_hidden' name='state_4' value='WyJbXSIsImU0ZmExYmQ2ODZlM2U3ODU5ZjEzMTNhZTljMjAwMmU1Il0=' \/>\n            <input type='hidden' autocomplete='off' class='gform_hidden' name='gform_target_page_number_4' id='gform_target_page_number_4' value='0' \/>\n            <input type='hidden' autocomplete='off' class='gform_hidden' name='gform_source_page_number_4' id='gform_source_page_number_4' value='1' \/>\n            <input type='hidden' name='gform_field_values' value='' \/>\n            \n        <\/div>\n                        <\/form>\n                        <\/div>\n\t\t                <iframe style='display:none;width:0px;height:0px;' src='about:blank' name='gform_ajax_frame_4' id='gform_ajax_frame_4' title='This iframe contains the logic required to handle Ajax powered Gravity Forms.'><\/iframe>\n\t\t                <script type=\"text\/javascript\">\n\/* <![CDATA[ *\/\n gform.initializeOnLoaded( function() {gformInitSpinner( 4, 'https:\/\/augustadentalarts.com\/wp-content\/plugins\/gravityforms\/images\/spinner.svg', true );jQuery('#gform_ajax_frame_4').on('load',function(){var contents = jQuery(this).contents().find('*').html();var is_postback = contents.indexOf('GF_AJAX_POSTBACK') >= 0;if(!is_postback){return;}var form_content = jQuery(this).contents().find('#gform_wrapper_4');var is_confirmation = jQuery(this).contents().find('#gform_confirmation_wrapper_4').length > 0;var is_redirect = contents.indexOf('gformRedirect(){') >= 0;var is_form = form_content.length > 0 && ! is_redirect && ! is_confirmation;var mt = parseInt(jQuery('html').css('margin-top'), 10) + parseInt(jQuery('body').css('margin-top'), 10) + 100;if(is_form){jQuery('#gform_wrapper_4').html(form_content.html());if(form_content.hasClass('gform_validation_error')){jQuery('#gform_wrapper_4').addClass('gform_validation_error');} else {jQuery('#gform_wrapper_4').removeClass('gform_validation_error');}setTimeout( function() { \/* delay the scroll by 50 milliseconds to fix a bug in chrome *\/ jQuery(document).scrollTop(jQuery('#gform_wrapper_4').offset().top - mt); }, 50 );if(window['gformInitDatepicker']) {gformInitDatepicker();}if(window['gformInitPriceFields']) {gformInitPriceFields();}var current_page = jQuery('#gform_source_page_number_4').val();gformInitSpinner( 4, 'https:\/\/augustadentalarts.com\/wp-content\/plugins\/gravityforms\/images\/spinner.svg', true );jQuery(document).trigger('gform_page_loaded', [4, current_page]);window['gf_submitting_4'] = false;}else if(!is_redirect){var confirmation_content = jQuery(this).contents().find('.GF_AJAX_POSTBACK').html();if(!confirmation_content){confirmation_content = contents;}jQuery('#gform_wrapper_4').replaceWith(confirmation_content);jQuery(document).scrollTop(jQuery('#gf_4').offset().top - mt);jQuery(document).trigger('gform_confirmation_loaded', [4]);window['gf_submitting_4'] = false;wp.a11y.speak(jQuery('#gform_confirmation_message_4').text());}else{jQuery('#gform_4').append(contents);if(window['gformRedirect']) {gformRedirect();}}jQuery(document).trigger(\"gform_pre_post_render\", [{ formId: \"4\", currentPage: \"current_page\", abort: function() { this.preventDefault(); } }]);        if (event && event.defaultPrevented) {                return;        }        const gformWrapperDiv = document.getElementById( \"gform_wrapper_4\" );        if ( gformWrapperDiv ) {            const visibilitySpan = document.createElement( \"span\" );            visibilitySpan.id = \"gform_visibility_test_4\";            gformWrapperDiv.insertAdjacentElement( \"afterend\", visibilitySpan );        }        const visibilityTestDiv = document.getElementById( \"gform_visibility_test_4\" );        let postRenderFired = false;        function triggerPostRender() {            if ( postRenderFired ) {                return;            }            postRenderFired = true;            gform.core.triggerPostRenderEvents( 4, current_page );            if ( visibilityTestDiv ) {                visibilityTestDiv.parentNode.removeChild( visibilityTestDiv );            }        }        function debounce( func, wait, immediate ) {            var timeout;            return function() {                var context = this, args = arguments;                var later = function() {                    timeout = null;                    if ( !immediate ) func.apply( context, args );                };                var callNow = immediate && !timeout;                clearTimeout( timeout );                timeout = setTimeout( later, wait );                if ( callNow ) func.apply( context, args );            };        }        const debouncedTriggerPostRender = debounce( function() {            triggerPostRender();        }, 200 );        if ( visibilityTestDiv && visibilityTestDiv.offsetParent === null ) {            const observer = new MutationObserver( ( mutations ) => {                mutations.forEach( ( mutation ) => {                    if ( mutation.type === 'attributes' && visibilityTestDiv.offsetParent !== null ) {                        debouncedTriggerPostRender();                        observer.disconnect();                    }                });            });            observer.observe( document.body, {                attributes: true,                childList: false,                subtree: true,                attributeFilter: [ 'style', 'class' ],            });        } else {            triggerPostRender();        }    } );} ); \n\/* ]]> *\/\n<\/script>\n[\/et_pb_code][et_pb_image src=&#8221;https:\/\/augustadentalarts.com\/wp-content\/uploads\/2020\/07\/submit-form.png&#8221; alt=&#8221;submit-form&#8221; module_id=&#8221;form-submit-sidebar&#8221; _builder_version=&#8221;4.3.4&#8243; custom_margin=&#8221;||-55px|||&#8221; locked=&#8221;off&#8221;][\/et_pb_image][\/et_pb_column][\/et_pb_row][et_pb_row _builder_version=&#8221;4.3.4&#8243;][et_pb_column type=&#8221;4_4&#8243; _builder_version=&#8221;4.3.4&#8243;][et_pb_text _builder_version=&#8221;4.3.4&#8243;]<\/p>\n<p> <strong>PAYMENT OPTIONS:<\/strong><\/p>\n<p> 1. Cash \u2013 This includes money orders and personal checks.<br \/> 2. Mastercard\/Visa\/Discover \u2013 We accept credit cards as payment for dentistry as your limit allows.<br \/> 3. Care Credit \u2013 A separate line of credit to cover your entire family\u2019s dental needs. Approval takes less than 30 minutes. It does not affect your current spending limits and balances of other credit cards. There is no annual fee and no interest if the monthly payments are made on time and the balance is paid by the due date.<\/p>\n<p>We would be happy to work with you to plan out the most appropriate arrangements for your budget. Financing your treatment allows you to start your dental care immediately and spread the payments over a time period appropriate for you. Most importantly, it offers you the opportunity to enjoy the benefits of your dental health without the financial strain.<\/p>\n<p>For your convenience, all new patient paperwork can be accessed online. Simply download each form below, complete the forms at home, and bring the forms with you to your first appointment. If you should have any difficulty downloading these forms, please call our office and a knowledgeable staff member will be happy to assist you.[\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row column_structure=&#8221;1_2,1_2&#8243; use_custom_gutter=&#8221;on&#8221; gutter_width=&#8221;1&#8243; _builder_version=&#8221;4.3.4&#8243;][et_pb_column type=&#8221;1_2&#8243; _builder_version=&#8221;4.3.4&#8243;][et_pb_text _builder_version=&#8221;4.3.4&#8243; link_text_color=&#8221;#00cccc&#8221; header_3_font=&#8221;Cardo|700|on||||||&#8221; header_3_text_align=&#8221;center&#8221; header_3_text_color=&#8221;#86bfff&#8221; header_3_font_size=&#8221;21px&#8221; background_color=&#8221;rgba(0,0,0,0.91)&#8221; width=&#8221;53%&#8221; module_alignment=&#8221;center&#8221; custom_margin=&#8221;||-9px||false|false&#8221; custom_padding=&#8221;10px|20px|5px|20px|false|false&#8221; link_option_url=&#8221;https:\/\/augustadentalarts.com\/new-patient-forms\/&#8221; link_option_url_new_window=&#8221;on&#8221; header_3_font_size_tablet=&#8221;&#8221; header_3_font_size_phone=&#8221;18px&#8221; header_3_font_size_last_edited=&#8221;on|phone&#8221; link_text_color__hover_enabled=&#8221;on|hover&#8221; link_text_color__hover=&#8221;#86BFFF &#8221; header_3_text_color__hover_enabled=&#8221;on|hover&#8221; header_3_text_color__hover=&#8221;#00cccc &#8220;]<\/p>\n<h3>New Patient Forms<\/h3>\n<p>[\/et_pb_text][\/et_pb_column][et_pb_column type=&#8221;1_2&#8243; _builder_version=&#8221;4.3.4&#8243;][et_pb_text _builder_version=&#8221;4.3.4&#8243; link_text_color=&#8221;#00cccc&#8221; header_3_font=&#8221;Arial|700|||||||&#8221; header_3_text_color=&#8221;#00cccc&#8221; header_3_font_size=&#8221;18px&#8221; background_enable_color=&#8221;off&#8221; custom_margin=&#8221;||-9px||false|false&#8221; custom_padding=&#8221;10px|20px|5px|20px|false|false&#8221; link_option_url=&#8221;https:\/\/augustadentalarts.com\/wp-content\/uploads\/documents\/Records%20Release%20from%20Previous%20Dentist.pdf&#8221; link_option_url_new_window=&#8221;on&#8221; header_3_font_size_tablet=&#8221;&#8221; header_3_font_size_phone=&#8221;18px&#8221; header_3_font_size_last_edited=&#8221;on|phone&#8221; link_text_color__hover_enabled=&#8221;on|hover&#8221; link_text_color__hover=&#8221;#86BFFF &#8221; header_3_text_color__hover_enabled=&#8221;on|hover&#8221; header_3_text_color__hover=&#8221;#86BFFF &#8220;]<\/p>\n<h3>Records Release from Previous Dentist<\/h3>\n<p>[\/et_pb_text][et_pb_text _builder_version=&#8221;4.3.4&#8243; link_text_color=&#8221;#00cccc&#8221; header_3_font=&#8221;Arial|700|||||||&#8221; header_3_text_color=&#8221;#00cccc&#8221; header_3_font_size=&#8221;18px&#8221; background_enable_color=&#8221;off&#8221; custom_margin=&#8221;||-9px||false|false&#8221; custom_padding=&#8221;10px|20px|5px|20px|false|false&#8221; link_option_url=&#8221;https:\/\/augustadentalarts.com\/wp-content\/uploads\/documents\/Post%20Op%20Extraction%20Instructions.pdf&#8221; link_option_url_new_window=&#8221;on&#8221; header_3_font_size_tablet=&#8221;&#8221; header_3_font_size_phone=&#8221;18px&#8221; header_3_font_size_last_edited=&#8221;on|phone&#8221; link_text_color__hover_enabled=&#8221;on|hover&#8221; link_text_color__hover=&#8221;#86BFFF &#8221; header_3_text_color__hover_enabled=&#8221;on|hover&#8221; header_3_text_color__hover=&#8221;#86BFFF &#8220;]<\/p>\n<h3>Post Op Extraction Instructions <\/h3>\n<p>[\/et_pb_text][et_pb_text _builder_version=&#8221;4.3.4&#8243; link_text_color=&#8221;#00cccc&#8221; header_3_font=&#8221;Arial|700|||||||&#8221; header_3_text_color=&#8221;#00cccc&#8221; header_3_font_size=&#8221;18px&#8221; background_enable_color=&#8221;off&#8221; custom_margin=&#8221;||-9px||false|false&#8221; custom_padding=&#8221;10px|20px|5px|20px|false|false&#8221; link_option_url=&#8221;https:\/\/augustadentalarts.com\/wp-content\/uploads\/documents\/Post%20Op%20LANAP%20Instructions.pdf&#8221; link_option_url_new_window=&#8221;on&#8221; header_3_font_size_tablet=&#8221;&#8221; header_3_font_size_phone=&#8221;18px&#8221; header_3_font_size_last_edited=&#8221;on|phone&#8221; link_text_color__hover_enabled=&#8221;on|hover&#8221; link_text_color__hover=&#8221;#86BFFF &#8221; header_3_text_color__hover_enabled=&#8221;on|hover&#8221; header_3_text_color__hover=&#8221;#86BFFF &#8220;]<\/p>\n<h3>Post Op LANAP Instructions <\/h3>\n<p>[\/et_pb_text][et_pb_text _builder_version=&#8221;4.3.4&#8243; link_text_color=&#8221;#00cccc&#8221; header_3_font=&#8221;Arial|700|||||||&#8221; header_3_text_color=&#8221;#00cccc&#8221; header_3_font_size=&#8221;18px&#8221; background_enable_color=&#8221;off&#8221; custom_margin=&#8221;||-9px||false|false&#8221; custom_padding=&#8221;10px|20px|5px|20px|false|false&#8221; link_option_url=&#8221;https:\/\/augustadentalarts.com\/wp-content\/uploads\/documents\/Bleaching%20Instructions.pdf&#8221; link_option_url_new_window=&#8221;on&#8221; header_3_font_size_tablet=&#8221;&#8221; header_3_font_size_phone=&#8221;18px&#8221; header_3_font_size_last_edited=&#8221;on|phone&#8221; link_text_color__hover_enabled=&#8221;on|hover&#8221; link_text_color__hover=&#8221;#86BFFF &#8221; header_3_text_color__hover_enabled=&#8221;on|hover&#8221; header_3_text_color__hover=&#8221;#86BFFF &#8220;]<\/p>\n<h3>Bleaching Instructions <\/h3>\n<p>[\/et_pb_text][et_pb_text _builder_version=&#8221;4.3.4&#8243; link_text_color=&#8221;#00cccc&#8221; header_3_font=&#8221;Arial|700|||||||&#8221; header_3_text_color=&#8221;#00cccc&#8221; header_3_font_size=&#8221;18px&#8221; background_enable_color=&#8221;off&#8221; custom_margin=&#8221;||-9px||false|false&#8221; custom_padding=&#8221;10px|20px|5px|20px|false|false&#8221; link_option_url=&#8221;https:\/\/augustadentalarts.com\/wp-content\/uploads\/documents\/One-Day-Smile-Makeover-Release.pdf&#8221; link_option_url_new_window=&#8221;on&#8221; header_3_font_size_tablet=&#8221;&#8221; header_3_font_size_phone=&#8221;18px&#8221; header_3_font_size_last_edited=&#8221;on|phone&#8221; link_text_color__hover_enabled=&#8221;on|hover&#8221; link_text_color__hover=&#8221;#86BFFF &#8221; header_3_text_color__hover_enabled=&#8221;on|hover&#8221; header_3_text_color__hover=&#8221;#86BFFF &#8220;]<\/p>\n<h3>One Day Smile Makeover Release <\/h3>\n<p>[\/et_pb_text][et_pb_text _builder_version=&#8221;4.3.4&#8243; link_text_color=&#8221;#00cccc&#8221; header_3_font=&#8221;Arial|700|||||||&#8221; header_3_text_color=&#8221;#00cccc&#8221; header_3_font_size=&#8221;18px&#8221; background_enable_color=&#8221;off&#8221; custom_margin=&#8221;||-9px||false|false&#8221; custom_padding=&#8221;10px|20px|5px|20px|false|false&#8221; link_option_url=&#8221;https:\/\/augustadentalarts.com\/wp-content\/uploads\/documents\/Photo%20Release.pdf&#8221; link_option_url_new_window=&#8221;on&#8221; header_3_font_size_tablet=&#8221;&#8221; header_3_font_size_phone=&#8221;18px&#8221; header_3_font_size_last_edited=&#8221;on|phone&#8221; link_text_color__hover_enabled=&#8221;on|hover&#8221; link_text_color__hover=&#8221;#86BFFF &#8221; header_3_text_color__hover_enabled=&#8221;on|hover&#8221; header_3_text_color__hover=&#8221;#86BFFF &#8220;]<\/p>\n<h3>Photo Release <\/h3>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row column_structure=&#8221;1_2,1_2&#8243; use_custom_gutter=&#8221;on&#8221; gutter_width=&#8221;1&#8243; disabled_on=&#8221;on|on|on&#8221; _builder_version=&#8221;4.3.4&#8243; disabled=&#8221;on&#8221;][et_pb_column type=&#8221;1_2&#8243; _builder_version=&#8221;4.3.4&#8243;][et_pb_text _builder_version=&#8221;4.3.4&#8243; link_text_color=&#8221;#00cccc&#8221; header_3_font=&#8221;Arial|700|||||||&#8221; header_3_text_color=&#8221;#86bfff&#8221; header_3_font_size=&#8221;21px&#8221; background_color=&#8221;#ffffff&#8221; custom_margin=&#8221;||-9px||false|false&#8221; custom_padding=&#8221;10px|20px|5px|20px|false|false&#8221; link_option_url=&#8221;https:\/\/augustadentalarts.com\/wp-content\/uploads\/new-patient-forms&#8221; link_option_url_new_window=&#8221;on&#8221; header_3_font_size_tablet=&#8221;&#8221; header_3_font_size_phone=&#8221;18px&#8221; header_3_font_size_last_edited=&#8221;on|phone&#8221; link_text_color__hover_enabled=&#8221;on|hover&#8221; link_text_color__hover=&#8221;#86BFFF &#8221; header_3_text_color__hover_enabled=&#8221;on|hover&#8221; header_3_text_color__hover=&#8221;#00cccc &#8220;]<\/p>\n<h3>New Patient Forms<\/h3>\n<p>[\/et_pb_text][et_pb_text _builder_version=&#8221;4.3.4&#8243; link_text_color=&#8221;#00cccc&#8221; header_3_font=&#8221;Arial|700|||||||&#8221; header_3_text_color=&#8221;#00cccc&#8221; header_3_font_size=&#8221;18px&#8221; background_color=&#8221;#ffffff&#8221; custom_margin=&#8221;||-9px||false|false&#8221; custom_padding=&#8221;10px|20px|5px|20px|false|false&#8221; link_option_url=&#8221;https:\/\/augustadentalarts.com\/wp-content\/uploads\/new-patient-forms\/Financial-Policy-Form.pdf&#8221; link_option_url_new_window=&#8221;on&#8221; header_3_font_size_tablet=&#8221;&#8221; header_3_font_size_phone=&#8221;18px&#8221; header_3_font_size_last_edited=&#8221;on|phone&#8221; link_text_color__hover_enabled=&#8221;on|hover&#8221; link_text_color__hover=&#8221;#86BFFF &#8221; header_3_text_color__hover_enabled=&#8221;on|hover&#8221; header_3_text_color__hover=&#8221;#86BFFF &#8220;]<\/p>\n<h3>Financial Policy <\/h3>\n<p>[\/et_pb_text][et_pb_text _builder_version=&#8221;4.3.4&#8243; link_text_color=&#8221;#00cccc&#8221; header_3_font=&#8221;Arial|700|||||||&#8221; header_3_text_color=&#8221;#00cccc&#8221; header_3_font_size=&#8221;18px&#8221; background_color=&#8221;#ffffff&#8221; custom_margin=&#8221;||-9px||false|false&#8221; custom_padding=&#8221;10px|20px|5px|20px|false|false&#8221; link_option_url=&#8221;https:\/\/augustadentalarts.com\/wp-content\/uploads\/new-patient-forms\/Medical-History-Form.pdf&#8221; link_option_url_new_window=&#8221;on&#8221; header_3_font_size_tablet=&#8221;&#8221; header_3_font_size_phone=&#8221;18px&#8221; header_3_font_size_last_edited=&#8221;on|phone&#8221; link_text_color__hover_enabled=&#8221;on|hover&#8221; link_text_color__hover=&#8221;#86BFFF &#8221; header_3_text_color__hover_enabled=&#8221;on|hover&#8221; header_3_text_color__hover=&#8221;#86BFFF &#8220;]<\/p>\n<h3>Medical History <\/h3>\n<p>[\/et_pb_text][et_pb_text _builder_version=&#8221;4.3.4&#8243; link_text_color=&#8221;#00cccc&#8221; header_3_font=&#8221;Arial|700|||||||&#8221; header_3_text_color=&#8221;#00cccc&#8221; header_3_font_size=&#8221;18px&#8221; background_color=&#8221;#ffffff&#8221; custom_margin=&#8221;||-9px||false|false&#8221; custom_padding=&#8221;10px|20px|5px|20px|false|false&#8221; link_option_url=&#8221;https:\/\/augustadentalarts.com\/wp-content\/uploads\/new-patient-forms\/Dental Insurance Update.pdf&#8221; link_option_url_new_window=&#8221;on&#8221; header_3_font_size_tablet=&#8221;&#8221; header_3_font_size_phone=&#8221;18px&#8221; header_3_font_size_last_edited=&#8221;on|phone&#8221; link_text_color__hover_enabled=&#8221;on|hover&#8221; link_text_color__hover=&#8221;#86BFFF &#8221; header_3_text_color__hover_enabled=&#8221;on|hover&#8221; header_3_text_color__hover=&#8221;#86BFFF &#8220;]<\/p>\n<h3>Dental Insurance Update<\/h3>\n<p>[\/et_pb_text][et_pb_text _builder_version=&#8221;4.3.4&#8243; link_text_color=&#8221;#00cccc&#8221; header_3_font=&#8221;Arial|700|||||||&#8221; header_3_text_color=&#8221;#00cccc&#8221; header_3_font_size=&#8221;18px&#8221; background_color=&#8221;#ffffff&#8221; custom_margin=&#8221;||-9px||false|false&#8221; custom_padding=&#8221;10px|20px|5px|20px|false|false&#8221; link_option_url=&#8221;https:\/\/augustadentalarts.com\/wp-content\/uploads\/new-patient-forms\/Text-and-Email-Information -Form .pdf&#8221; link_option_url_new_window=&#8221;on&#8221; header_3_font_size_tablet=&#8221;&#8221; header_3_font_size_phone=&#8221;18px&#8221; header_3_font_size_last_edited=&#8221;on|phone&#8221; link_text_color__hover_enabled=&#8221;on|hover&#8221; link_text_color__hover=&#8221;#86BFFF &#8221; header_3_text_color__hover_enabled=&#8221;on|hover&#8221; header_3_text_color__hover=&#8221;#86BFFF &#8220;]<\/p>\n<h3> Text &#038; Email Information <\/h3>\n<p>[\/et_pb_text][et_pb_text _builder_version=&#8221;4.3.4&#8243; link_text_color=&#8221;#00cccc&#8221; header_3_font=&#8221;Arial|700|||||||&#8221; header_3_text_color=&#8221;#00cccc&#8221; header_3_font_size=&#8221;18px&#8221; background_color=&#8221;#ffffff&#8221; custom_margin=&#8221;||-9px||false|false&#8221; custom_padding=&#8221;10px|20px|5px|20px|false|false&#8221; link_option_url=&#8221;https:\/\/augustadentalarts.com\/wp-content\/uploads\/new-patient-forms\/HIPPA-Release-Form.pdf&#8221; link_option_url_new_window=&#8221;on&#8221; header_3_font_size_tablet=&#8221;&#8221; header_3_font_size_phone=&#8221;18px&#8221; header_3_font_size_last_edited=&#8221;on|phone&#8221; link_text_color__hover_enabled=&#8221;on|hover&#8221; link_text_color__hover=&#8221;#86BFFF &#8221; header_3_text_color__hover_enabled=&#8221;on|hover&#8221; header_3_text_color__hover=&#8221;#86BFFF &#8220;]<\/p>\n<h3>HIPAA Release <\/h3>\n<p>[\/et_pb_text][et_pb_text _builder_version=&#8221;4.3.4&#8243; link_text_color=&#8221;#00cccc&#8221; header_3_font=&#8221;Arial|700|||||||&#8221; header_3_text_color=&#8221;#00cccc&#8221; header_3_font_size=&#8221;18px&#8221; background_color=&#8221;#ffffff&#8221; custom_margin=&#8221;||-9px||false|false&#8221; custom_padding=&#8221;10px|20px|5px|20px|false|false&#8221; link_option_url=&#8221;https:\/\/augustadentalarts.com\/wp-content\/uploads\/documents\/Post%20Op%20Extraction%20Instructions.pdf&#8221; link_option_url_new_window=&#8221;on&#8221; header_3_font_size_tablet=&#8221;&#8221; header_3_font_size_phone=&#8221;18px&#8221; header_3_font_size_last_edited=&#8221;on|phone&#8221; link_text_color__hover_enabled=&#8221;on|hover&#8221; link_text_color__hover=&#8221;#86BFFF &#8221; header_3_text_color__hover_enabled=&#8221;on|hover&#8221; header_3_text_color__hover=&#8221;#86BFFF &#8220;]<\/p>\n<h3>Post Extraction Instructions <\/h3>\n<p>[\/et_pb_text][et_pb_text _builder_version=&#8221;4.3.4&#8243; link_text_color=&#8221;#00cccc&#8221; header_3_font=&#8221;Arial|700|||||||&#8221; header_3_text_color=&#8221;#00cccc&#8221; header_3_font_size=&#8221;18px&#8221; background_color=&#8221;#ffffff&#8221; custom_margin=&#8221;||-9px||false|false&#8221; custom_padding=&#8221;10px|20px|5px|20px|false|false&#8221; link_option_url=&#8221;https:\/\/augustadentalarts.com\/wp-content\/uploads\/documents\/Bleaching%20Instructions.pdf&#8221; link_option_url_new_window=&#8221;on&#8221; header_3_font_size_tablet=&#8221;&#8221; header_3_font_size_phone=&#8221;18px&#8221; header_3_font_size_last_edited=&#8221;on|phone&#8221; link_text_color__hover_enabled=&#8221;on|hover&#8221; link_text_color__hover=&#8221;#86BFFF &#8221; header_3_text_color__hover_enabled=&#8221;on|hover&#8221; header_3_text_color__hover=&#8221;#86BFFF &#8220;]<\/p>\n<h3>Bleaching Instructions <\/h3>\n<p>[\/et_pb_text][\/et_pb_column][et_pb_column type=&#8221;1_2&#8243; _builder_version=&#8221;4.3.4&#8243;][et_pb_text _builder_version=&#8221;4.3.4&#8243; link_text_color=&#8221;#00cccc&#8221; header_3_font=&#8221;Arial|700|||||||&#8221; header_3_text_color=&#8221;#00cccc&#8221; header_3_font_size=&#8221;18px&#8221; background_color=&#8221;#ffffff&#8221; custom_margin=&#8221;||-9px||false|false&#8221; custom_padding=&#8221;10px|20px|5px|20px|false|false&#8221; link_option_url=&#8221;https:\/\/augustadentalarts.com\/wp-content\/uploads\/documents\/Cell%20Phone%20Permission.pdf&#8221; link_option_url_new_window=&#8221;on&#8221; header_3_font_size_tablet=&#8221;&#8221; header_3_font_size_phone=&#8221;18px&#8221; header_3_font_size_last_edited=&#8221;on|phone&#8221; link_text_color__hover_enabled=&#8221;on|hover&#8221; link_text_color__hover=&#8221;#86BFFF &#8221; header_3_text_color__hover_enabled=&#8221;on|hover&#8221; header_3_text_color__hover=&#8221;#86BFFF &#8220;]<\/p>\n<h3>Cell Phone Permission <\/h3>\n<p>[\/et_pb_text][et_pb_text _builder_version=&#8221;4.3.4&#8243; link_text_color=&#8221;#00cccc&#8221; header_3_font=&#8221;Arial|700|||||||&#8221; header_3_text_color=&#8221;#00cccc&#8221; header_3_font_size=&#8221;18px&#8221; background_color=&#8221;#ffffff&#8221; custom_margin=&#8221;||-9px||false|false&#8221; custom_padding=&#8221;10px|20px|5px|20px|false|false&#8221; link_option_url=&#8221;https:\/\/augustadentalarts.com\/wp-content\/uploads\/documents\/One-Day-Smile-Makeover-Release.pdf&#8221; link_option_url_new_window=&#8221;on&#8221; header_3_font_size_tablet=&#8221;&#8221; header_3_font_size_phone=&#8221;18px&#8221; header_3_font_size_last_edited=&#8221;on|phone&#8221; link_text_color__hover_enabled=&#8221;on|hover&#8221; link_text_color__hover=&#8221;#86BFFF &#8221; header_3_text_color__hover_enabled=&#8221;on|hover&#8221; header_3_text_color__hover=&#8221;#86BFFF &#8220;]<\/p>\n<h3>One Day Smile Makeover Release <\/h3>\n<p>[\/et_pb_text][et_pb_text _builder_version=&#8221;4.3.4&#8243; link_text_color=&#8221;#00cccc&#8221; header_3_font=&#8221;Arial|700|||||||&#8221; header_3_text_color=&#8221;#00cccc&#8221; header_3_font_size=&#8221;18px&#8221; background_color=&#8221;#ffffff&#8221; custom_margin=&#8221;||-9px||false|false&#8221; custom_padding=&#8221;10px|20px|5px|20px|false|false&#8221; link_option_url=&#8221;https:\/\/augustadentalarts.com\/wp-content\/uploads\/documents\/Patient%20Health%20History.pdf&#8221; link_option_url_new_window=&#8221;on&#8221; header_3_font_size_tablet=&#8221;&#8221; header_3_font_size_phone=&#8221;18px&#8221; header_3_font_size_last_edited=&#8221;on|phone&#8221; link_text_color__hover_enabled=&#8221;on|hover&#8221; link_text_color__hover=&#8221;#86BFFF &#8221; header_3_text_color__hover_enabled=&#8221;on|hover&#8221; header_3_text_color__hover=&#8221;#86BFFF &#8220;]<\/p>\n<h3>Patient Health History <\/h3>\n<p>[\/et_pb_text][et_pb_text _builder_version=&#8221;4.3.4&#8243; link_text_color=&#8221;#00cccc&#8221; header_3_font=&#8221;Arial|700|||||||&#8221; header_3_text_color=&#8221;#00cccc&#8221; header_3_font_size=&#8221;18px&#8221; background_color=&#8221;#ffffff&#8221; custom_margin=&#8221;||-9px||false|false&#8221; custom_padding=&#8221;10px|20px|5px|20px|false|false&#8221; link_option_url=&#8221;https:\/\/augustadentalarts.com\/wp-content\/uploads\/documents\/Photo%20Release.pdf&#8221; link_option_url_new_window=&#8221;on&#8221; header_3_font_size_tablet=&#8221;&#8221; header_3_font_size_phone=&#8221;18px&#8221; header_3_font_size_last_edited=&#8221;on|phone&#8221; link_text_color__hover_enabled=&#8221;on|hover&#8221; link_text_color__hover=&#8221;#86BFFF &#8221; header_3_text_color__hover_enabled=&#8221;on|hover&#8221; header_3_text_color__hover=&#8221;#86BFFF &#8220;]<\/p>\n<h3>Photo Release <\/h3>\n<p>[\/et_pb_text][et_pb_text _builder_version=&#8221;4.3.4&#8243; link_text_color=&#8221;#00cccc&#8221; header_3_font=&#8221;Arial|700|||||||&#8221; header_3_text_color=&#8221;#00cccc&#8221; header_3_font_size=&#8221;18px&#8221; background_color=&#8221;#ffffff&#8221; custom_margin=&#8221;||-9px||false|false&#8221; custom_padding=&#8221;10px|20px|5px|20px|false|false&#8221; link_option_url=&#8221;https:\/\/augustadentalarts.com\/wp-content\/uploads\/documents\/Post%20Op%20Extraction%20Instructions.pdf&#8221; link_option_url_new_window=&#8221;on&#8221; header_3_font_size_tablet=&#8221;&#8221; header_3_font_size_phone=&#8221;18px&#8221; header_3_font_size_last_edited=&#8221;on|phone&#8221; link_text_color__hover_enabled=&#8221;on|hover&#8221; link_text_color__hover=&#8221;#86BFFF &#8221; header_3_text_color__hover_enabled=&#8221;on|hover&#8221; header_3_text_color__hover=&#8221;#86BFFF &#8220;]<\/p>\n<h3>Post Op Extraction Instructions <\/h3>\n<p>[\/et_pb_text][et_pb_text _builder_version=&#8221;4.3.4&#8243; link_text_color=&#8221;#00cccc&#8221; header_3_font=&#8221;Arial|700|||||||&#8221; header_3_text_color=&#8221;#00cccc&#8221; header_3_font_size=&#8221;18px&#8221; background_color=&#8221;#ffffff&#8221; custom_margin=&#8221;||-9px||false|false&#8221; custom_padding=&#8221;10px|20px|5px|20px|false|false&#8221; link_option_url=&#8221;https:\/\/augustadentalarts.com\/wp-content\/uploads\/documents\/Post%20Op%20LANAP%20Instructions.pdf&#8221; link_option_url_new_window=&#8221;on&#8221; header_3_font_size_tablet=&#8221;&#8221; header_3_font_size_phone=&#8221;18px&#8221; header_3_font_size_last_edited=&#8221;on|phone&#8221; link_text_color__hover_enabled=&#8221;on|hover&#8221; link_text_color__hover=&#8221;#86BFFF &#8221; header_3_text_color__hover_enabled=&#8221;on|hover&#8221; header_3_text_color__hover=&#8221;#86BFFF &#8220;]<\/p>\n<h3>Post Op LANAP Instructions <\/h3>\n<p>[\/et_pb_text][et_pb_text _builder_version=&#8221;4.3.4&#8243; link_text_color=&#8221;#00cccc&#8221; header_3_font=&#8221;Arial|700|||||||&#8221; header_3_text_color=&#8221;#00cccc&#8221; header_3_font_size=&#8221;18px&#8221; background_color=&#8221;#ffffff&#8221; custom_margin=&#8221;||-9px||false|false&#8221; custom_padding=&#8221;10px|20px|5px|20px|false|false&#8221; link_option_url=&#8221;https:\/\/augustadentalarts.com\/wp-content\/uploads\/documents\/Records%20Release%20from%20Previous%20Dentist.pdf&#8221; link_option_url_new_window=&#8221;on&#8221; header_3_font_size_tablet=&#8221;&#8221; header_3_font_size_phone=&#8221;18px&#8221; header_3_font_size_last_edited=&#8221;on|phone&#8221; link_text_color__hover_enabled=&#8221;on|hover&#8221; link_text_color__hover=&#8221;#86BFFF &#8221; header_3_text_color__hover_enabled=&#8221;on|hover&#8221; header_3_text_color__hover=&#8221;#86BFFF &#8220;]<\/p>\n<h3>Records Release from Previous Dentist<\/h3>\n<p>[\/et_pb_text][et_pb_text disabled_on=&#8221;on|on|on&#8221; _builder_version=&#8221;4.3.4&#8243; link_text_color=&#8221;#00cccc&#8221; header_3_font=&#8221;Arial|700|||||||&#8221; header_3_text_color=&#8221;#00cccc&#8221; header_3_font_size=&#8221;18px&#8221; background_color=&#8221;#ffffff&#8221; custom_margin=&#8221;||-9px||false|false&#8221; custom_padding=&#8221;10px|20px|5px|20px|false|false&#8221; header_3_font_size_tablet=&#8221;&#8221; header_3_font_size_phone=&#8221;18px&#8221; header_3_font_size_last_edited=&#8221;on|phone&#8221; disabled=&#8221;on&#8221; link_text_color__hover_enabled=&#8221;on|hover&#8221; link_text_color__hover=&#8221;#86BFFF &#8221; header_3_text_color__hover_enabled=&#8221;on|hover&#8221; header_3_text_color__hover=&#8221;#86BFFF &#8220;]<\/p>\n<h3>Post Operative Instructions <\/h3>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row _builder_version=&#8221;4.3.4&#8243;][et_pb_column type=&#8221;4_4&#8243; _builder_version=&#8221;4.3.4&#8243;][et_pb_button button_url=&#8221;https:\/\/augustadentalarts.com\/appointment-request\/&#8221; button_text=&#8221;Appointment Request &#8221; button_alignment=&#8221;center&#8221; _builder_version=&#8221;4.3.4&#8243; custom_button=&#8221;on&#8221; button_text_size=&#8221;18px&#8221; button_text_color=&#8221;#000000&#8243; button_bg_color=&#8221;#86bfff&#8221; button_border_width=&#8221;0px&#8221; button_font=&#8221;Open Sans|700|||||||&#8221; button_use_icon=&#8221;off&#8221; custom_padding=&#8221;10px|30px|10px|30px|true|true&#8221; locked=&#8221;off&#8221; button_bg_color__hover_enabled=&#8221;on|hover&#8221; button_bg_color__hover=&#8221;#000&#8243; button_bg_enable_color__hover=&#8221;on&#8221; button_text_color__hover_enabled=&#8221;on|hover&#8221; button_text_color__hover=&#8221;#ffffff&#8221;][\/et_pb_button][\/et_pb_column][\/et_pb_row][\/et_pb_section]<\/p>\n","protected":false},"excerpt":{"rendered":"<p>[et_pb_section fb_built=&#8221;1&#8243; _builder_version=&#8221;4.3.4&#8243; background_color=&#8221;#f2f2f2 &#8221; custom_margin=&#8221;-6px||||false|false&#8221;][et_pb_row column_structure=&#8221;2_3,1_3&#8243; _builder_version=&#8221;4.3.4&#8243; custom_margin=&#8221;||0px||false|false&#8221; custom_padding=&#8221;||0px||false|false&#8221; locked=&#8221;off&#8221;][et_pb_column type=&#8221;2_3&#8243; _builder_version=&#8221;4.3.4&#8243;][et_pb_text _builder_version=&#8221;4.3.4&#8243; text_font=&#8221;Cardo|700|on||||||&#8221; text_text_color=&#8221;#00cccc &#8221; text_font_size=&#8221;28px&#8221; text_line_height=&#8221;1.3em&#8221; custom_margin=&#8221;-2px||11px|||&#8221; text_font_size_tablet=&#8221;24px&#8221; text_font_size_phone=&#8221;20px&#8221; text_font_size_last_edited=&#8221;on|phone&#8221; locked=&#8221;off&#8221;]Forms and Patient Information[\/et_pb_text][et_pb_text _builder_version=&#8221;4.3.4&#8243; header_3_font=&#8221;Arial|700|||||||&#8221; header_3_text_align=&#8221;left&#8221; header_3_text_color=&#8221;#00cccc&#8221; custom_margin=&#8221;||22px|||&#8221; header_3_font_size_tablet=&#8221;&#8221; header_3_font_size_phone=&#8221;18px&#8221; header_3_font_size_last_edited=&#8221;on|phone&#8221;] We Will Work Hard To Maximize Your Benefits! [\/et_pb_text][et_pb_text _builder_version=&#8221;4.3.4&#8243; header_3_font=&#8221;Arial|700|||||||&#8221; header_3_text_align=&#8221;left&#8221; header_3_text_color=&#8221;#00cccc&#8221; custom_margin=&#8221;||22px|||&#8221; header_3_font_size_tablet=&#8221;&#8221; header_3_font_size_phone=&#8221;18px&#8221; header_3_font_size_last_edited=&#8221;on|phone&#8221;] Financial Policy for [&hellip;]<\/p>\n","protected":false},"author":3,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_et_pb_use_builder":"on","_et_pb_old_content":"","_et_gb_content_width":"","footnotes":""},"class_list":["post-38","page","type-page","status-publish","hentry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v26.8 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Forms \/ Patient Information - Augusta Dental Arts<\/title>\n<meta name=\"description\" content=\"Fill out our New Patient Form prior to your first appointment will help us make your appointment time more efficient. If you have any questions please call our office and a knowledgeable staff member will be happy to assist you.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/augustadentalarts.com\/?page_id=38\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Forms \/ Patient Information - Augusta Dental Arts\" \/>\n<meta property=\"og:description\" content=\"Fill out our New Patient Form prior to your first appointment will help us make your appointment time more efficient. If you have any questions please call our office and a knowledgeable staff member will be happy to assist you.\" \/>\n<meta property=\"og:url\" content=\"https:\/\/augustadentalarts.com\/?page_id=38\" \/>\n<meta property=\"og:site_name\" content=\"Augusta Dental Arts\" \/>\n<meta property=\"article:modified_time\" content=\"2021-01-19T19:19:30+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/augustadentalarts.com\/wp-content\/uploads\/2020\/07\/contact-us-now.png\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data1\" content=\"16 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\/\/augustadentalarts.com\/?page_id=38\",\"url\":\"https:\/\/augustadentalarts.com\/?page_id=38\",\"name\":\"Forms \/ Patient Information - Augusta Dental Arts\",\"isPartOf\":{\"@id\":\"https:\/\/augustadentalarts.com\/#website\"},\"primaryImageOfPage\":{\"@id\":\"https:\/\/augustadentalarts.com\/?page_id=38#primaryimage\"},\"image\":{\"@id\":\"https:\/\/augustadentalarts.com\/?page_id=38#primaryimage\"},\"thumbnailUrl\":\"https:\/\/augustadentalarts.com\/wp-content\/uploads\/2020\/07\/contact-us-now.png\",\"datePublished\":\"2020-07-13T14:45:40+00:00\",\"dateModified\":\"2021-01-19T19:19:30+00:00\",\"description\":\"Fill out our New Patient Form prior to your first appointment will help us make your appointment time more efficient. If you have any questions please call our office and a knowledgeable staff member will be happy to assist you.\",\"breadcrumb\":{\"@id\":\"https:\/\/augustadentalarts.com\/?page_id=38#breadcrumb\"},\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\/\/augustadentalarts.com\/?page_id=38\"]}]},{\"@type\":\"ImageObject\",\"inLanguage\":\"en-US\",\"@id\":\"https:\/\/augustadentalarts.com\/?page_id=38#primaryimage\",\"url\":\"https:\/\/augustadentalarts.com\/wp-content\/uploads\/2020\/07\/contact-us-now.png\",\"contentUrl\":\"https:\/\/augustadentalarts.com\/wp-content\/uploads\/2020\/07\/contact-us-now.png\",\"width\":65,\"height\":62,\"caption\":\"contact-us-now\"},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\/\/augustadentalarts.com\/?page_id=38#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"https:\/\/augustadentalarts.com\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Forms\/Patient Information\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\/\/augustadentalarts.com\/#website\",\"url\":\"https:\/\/augustadentalarts.com\/\",\"name\":\"Augusta Dental Arts\",\"description\":\"Augusta Dental Arts\",\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\/\/augustadentalarts.com\/?s={search_term_string}\"},\"query-input\":{\"@type\":\"PropertyValueSpecification\",\"valueRequired\":true,\"valueName\":\"search_term_string\"}}],\"inLanguage\":\"en-US\"}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"Forms \/ Patient Information - Augusta Dental Arts","description":"Fill out our New Patient Form prior to your first appointment will help us make your appointment time more efficient. If you have any questions please call our office and a knowledgeable staff member will be happy to assist you.","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/augustadentalarts.com\/?page_id=38","og_locale":"en_US","og_type":"article","og_title":"Forms \/ Patient Information - Augusta Dental Arts","og_description":"Fill out our New Patient Form prior to your first appointment will help us make your appointment time more efficient. If you have any questions please call our office and a knowledgeable staff member will be happy to assist you.","og_url":"https:\/\/augustadentalarts.com\/?page_id=38","og_site_name":"Augusta Dental Arts","article_modified_time":"2021-01-19T19:19:30+00:00","og_image":[{"url":"https:\/\/augustadentalarts.com\/wp-content\/uploads\/2020\/07\/contact-us-now.png","type":"","width":"","height":""}],"twitter_card":"summary_large_image","twitter_misc":{"Est. reading time":"16 minutes"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"WebPage","@id":"https:\/\/augustadentalarts.com\/?page_id=38","url":"https:\/\/augustadentalarts.com\/?page_id=38","name":"Forms \/ Patient Information - Augusta Dental Arts","isPartOf":{"@id":"https:\/\/augustadentalarts.com\/#website"},"primaryImageOfPage":{"@id":"https:\/\/augustadentalarts.com\/?page_id=38#primaryimage"},"image":{"@id":"https:\/\/augustadentalarts.com\/?page_id=38#primaryimage"},"thumbnailUrl":"https:\/\/augustadentalarts.com\/wp-content\/uploads\/2020\/07\/contact-us-now.png","datePublished":"2020-07-13T14:45:40+00:00","dateModified":"2021-01-19T19:19:30+00:00","description":"Fill out our New Patient Form prior to your first appointment will help us make your appointment time more efficient. If you have any questions please call our office and a knowledgeable staff member will be happy to assist you.","breadcrumb":{"@id":"https:\/\/augustadentalarts.com\/?page_id=38#breadcrumb"},"inLanguage":"en-US","potentialAction":[{"@type":"ReadAction","target":["https:\/\/augustadentalarts.com\/?page_id=38"]}]},{"@type":"ImageObject","inLanguage":"en-US","@id":"https:\/\/augustadentalarts.com\/?page_id=38#primaryimage","url":"https:\/\/augustadentalarts.com\/wp-content\/uploads\/2020\/07\/contact-us-now.png","contentUrl":"https:\/\/augustadentalarts.com\/wp-content\/uploads\/2020\/07\/contact-us-now.png","width":65,"height":62,"caption":"contact-us-now"},{"@type":"BreadcrumbList","@id":"https:\/\/augustadentalarts.com\/?page_id=38#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"https:\/\/augustadentalarts.com\/"},{"@type":"ListItem","position":2,"name":"Forms\/Patient Information"}]},{"@type":"WebSite","@id":"https:\/\/augustadentalarts.com\/#website","url":"https:\/\/augustadentalarts.com\/","name":"Augusta Dental Arts","description":"Augusta Dental Arts","potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/augustadentalarts.com\/?s={search_term_string}"},"query-input":{"@type":"PropertyValueSpecification","valueRequired":true,"valueName":"search_term_string"}}],"inLanguage":"en-US"}]}},"_links":{"self":[{"href":"https:\/\/augustadentalarts.com\/index.php?rest_route=\/wp\/v2\/pages\/38","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/augustadentalarts.com\/index.php?rest_route=\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/augustadentalarts.com\/index.php?rest_route=\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/augustadentalarts.com\/index.php?rest_route=\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/augustadentalarts.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=38"}],"version-history":[{"count":54,"href":"https:\/\/augustadentalarts.com\/index.php?rest_route=\/wp\/v2\/pages\/38\/revisions"}],"predecessor-version":[{"id":1507,"href":"https:\/\/augustadentalarts.com\/index.php?rest_route=\/wp\/v2\/pages\/38\/revisions\/1507"}],"wp:attachment":[{"href":"https:\/\/augustadentalarts.com\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=38"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}