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New Patient Registration

New Patient Registration and Consent

Welcome to Enable Dental. We provide portable at-home dentistry solutions in various environments including personal residences, corporate locations, assisted living communities, nursing homes, and group homes. Our clinicians provide a full range of services which include comprehensive exams, low dose radiographs, X-rays, dental cleanings, fluoride treatments, fillings, extractions, crowns, partials, dentures and much more! This Patient Consent form is designed to gather your health history as well as help you understand the options of improved quality of care that are available to you.

What To Expect At Your First Visit

Enable Dental will perform an initial comprehensive dental examination which includes an oral cancer screening and x-rays, which are required for all new patients for the dentist to determine the patient’s dental diagnosis. At this visit, the patient most likely will receive a standard cleaning. In the initial exam the dentist may identify issues which would require a personalized treatment plan and eliminate the standard cleaning. New patients are also offered an optional fluoride treatment.

Additional Follow-up Visits

Enable Dental’s patients will receive a periodic 6-month follow-up exam, denture checks, oral cancer screening, cleaning (prophylaxis) with fluoride and x-rays which is performed by a dentist or dental hygienist unless otherwise stipulated. Additional follow-up cleanings may occur every 3 months and are based on the recommendations of the dentist. If the dental diagnosis requires additional follow-up and treatment, the dental team will provide an outline of any needed therapy (treatment plan) which will be communicated to the patient or their legal representative via email or first-class mail.

 

PRICING

Step 1: Enrollment Form

Step 2: Medical and Dental History if Required

PDF Forms

Questions Or Need Help Filling Out The Form? Contact Us Below.

Fax: (866) 815-3719

See What People Are Saying About Us

They came out to see Mom for a dental problem she’s 95 and cannot walk. I didn’t know what I was going to do about the dental issue and was so relieved to find this service. I was very impressed with Enable Dental and their staff. Now we’re going to set up regular visits for dental care.

CJ F.
Family Member

My brother John is in assisted living and having the mobile dentists come to him is so nice. He feels safer in his environment and the dentists and assistants have been so patient with him.

Barbara M.
Family Member

My mother is an assisted living residential home. Her condition poses a few challenges to transfer and transport her to medical appointments. However, this week an Enable Dental dentist made a visit to her home to perform dental work. They were extremely professional, helpful, and friendly in coordinating care. Making such a pleasant dental experience for mom.

Yvonne M.
Family Member

Enable Dental comes to our community and provides excellent service to our dementia residents, right in their suites. I would recommend Enable Dental!

Sharon N.
Community Employee

Enable Dental is easily accessible for homebound individuals. They respond quickly to concerns and are genuinely open to feedback. Enable Dental ensures vulnerable populations have access to much needed dental care.

Danielle G.
Family Member

Texas Mobile Dentist has been an absolute joy to work with at Sundance Memory Care. I really consider them family with how well they relate and communicate with our loved ones. They are a true blessing!

Bobbi S.
Caregiver

The dental cleaning was excellent, and I appreciated the email reminders about the appointment as well as the follow-up to take care of all the paperwork. This is an exceptional service, especially for the elderly who have difficulty making it to appointments when they cannot drive. I am grateful and thankful for this service!

Evelyne B.
Patient

Your crew are all professional, informative, and thorough. They provide an invaluable service that’s greatly needed by a segment of people who have little or no other options. Plus, they’re friendly and kind and so very considerate.

Tina S.
Community Associate

The staff is very friendly, extremely knowledgeable, and have amazing patience. They are able to work with anyone and manage to keep not only a smile on their faces, but on the faces of their patients as well. I highly recommend this dentistry company.

Abranna S.
Family Member

Corey scheduled our 1st appt. by phone. He listened to my concerns & answered all of my questions. Mary & Dr.Sowle were amazing! While my daughter apologized for not taking good care of her teeth, Mary focused on what she was doing right! They make a great team. Very patient focused and friendly. Thank you for this much needed service!

Rita P.
Family Member

It was nice meeting you and Dr Jenna, Miguel and Anet today, an amazing group of people!
Everyone did their utmost to make my mother feel comfortable, she knew she was in good hands!
Thank you for going out of your way to ensure that everything went smoothly and with a smile!
Your positive energy and enthusiasm for what you all do, was evident today, as well as in the past, when I spoke with you on the phone.
Considering the time you are on the road, dealing with multiple family members, and facility staff, it’s obvious that you enjoy your job and are very good at it! We are grateful for having you work so hard to get Mom back on track! Looking forward to seeing you all on the next visit.

Susan, Lina and Linda
Family Members