Call Now: (402) 933-0300

11414 W Center Rd Suite 234 
Omaha, NE 68144 

Your First Visit

What to expect on your first visit to our office:

Please assist us at the time of your first visit with us by providing us with the following:

  • If you have dental insurance, bring any forms or insurance cards with you.
  • List of any medications that you are currently taking. Our new patient forms are available online to complete and print out. This includes a health history form.
  • Any letters, x-rays or referral letters from your referring dentist.
Any patients under the age of 18 must be accompanied by a parent or legal guardian at the time of the first visit.

Notify the office if you have a medical condition that requires pre-medication. Such as artificial joints.

Dr. Moffenbier will complete an in depth review of your medical and dental histories. She will then do a thorough examination of your teeth and tissues. She will then measure for the presence of periodontal disease. This will consist of measuring bone loss, recession of the gum tissues, any tissue abnormalities, mobility of the teeth, and your bite.

Dr. Moffenbier will then review and explain her findings to the patient and if necessary, establish a treatment plan.

Patient Forms


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.

New Patient Information Form
Medical History Form

Financial Policies

Post Operative Instructions

  Caring for Your Periodontal Surgery


Top Dentist Since 2011


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