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NEW PATIENT INFORMATION

APPOINTMENTS

At Neely and Neely Dental Group we try to schedule your appointment as soon as possible, and if you are having pain or an emergency situation we will make every attempt to see you that day. For questions or to schedule an appointment, contact us today at 601-981-7122.

 

CANCELLATION

Because we want to schedule all our appointments as promptly as possible, we ask that if you are unable to keep an appointment that you please provide us with at least 48 hours notice. This allows us to offer the appointment to another patient.

 

NEW PATIENT INFORMATION

If you’d like to save time on your first appointment, you may download and print our Patient Registration, Medical History and Consent Forms and bring them already filled out to your first Neely and Neely visit. To view and print our form, you will need Adobe Acrobat Reader, which may be downloaded for free from Adobe’s web site if it is not already installed on your system.

Assignment of Benefits

 

Financial Agreement

Patient Information

 

If you have dental insurance, if at all possible we ask that you call us a few days ahead (or even at the time you make your appointment) so that we may confirm your insurance information.

Call our office at 601-981-7122.

Please know that the security and privacy of your personal data is one of our primary concerns and we have taken every precaution to protect it.

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