Go To Quick Facts


Click on the desired form link below.

When the form appears, click the "print" button from the browser you are using (Internet Explorer, Netscape, FireFox, etc...).

After the form prints, fill it out and bring it with you to your scheduled appointment.

For your convenience, the completed form can be printed and faxed prior
to your scheduled appointment. Our FAX number is 816-353-5162.

Informational Packets

New Patient Information
Recall Examination Information

Individual Forms
Referral
Signature On File
Patient Information
Recall Examination
Consent for use and Disclosure of Health Information
Notice of Privacy Practices
Acknowledgement of Receipt of Notice of Privacy Practices
This means the removal of a tooth from the jaw, usually using instruments called FORCEPS or ELEVATORS. An extraction can also be carried out SURGICALLY, when the dentist needs to make extra incisions or remove some bony tissue to get the tooth to come out. Surgical extractions are carried out when a normal or straight- forward extraction is not possible. As a patient there are a few guidelines you should follow after having a tooth extracted. You should not rinse your mouth out vigorously for some time (usually 24 hours) afterwards. You should keep your mouth clean, though, and brush your remaining teeth as normal. You may be given advice on how to stop bleeding from the socket afterwards, (biting on a clean, just-damp cloth or handkerchief) and any other special instructions will be given by your dentist.
Back To Top Of Page
[Home] [Welcome] [Contact Us] [Dr. Anderson] [Dental Forms] [First Visit] [Adult Care] [Kids Corner] [Payment] [Emergency]
[Patient Survey] [Dental Links] [Special Procedures] [Our Mission] [Appointments]