Patient Forms, Map and Directions to Summit Office
Your first visit to Dr. Robina involves a few special steps so that we can get to know and assist you. To understand what to expect, please read through this and other pages. You'll find all the practical information you need, such as a map and directions to our office, practice hours, payment policies and more. There's also background information about our committed staff and our first visit procedures. You can also save some time by printing out and completing the patient forms in advance of your appointment. We will work closely with you in an attempt to obtain previous dental records and x-rays when available and useful in maintaining or restoring your dental health prior to your initial appointment.
Our practice is working together to realize a shared vision of uncompromising excellence in dentistry.
To fulfill this mission, we are committed to:
- Listening to those we are privileged to serve.
- Earn the trust and respect of patients, profession and community.
- Exceed your expectations.
- Ensure a creative, challenging and compassionate professional environment.
- Strive for continuous improvement at all levels.
Please print and fill out these forms so we can expedite your first visit:
- Health History Form
- Health History Update
- HIPAA Form
- Release Of Records Consent Form
- Current Business Card
In order to view or print these forms you will need Adobe Acrobat Reader installed. Click here to download it.
What To Expect
Being well-prepared for your appointment will ensure that the doctor has all of the needed information to provide the best possible care for you. It also will help relieve any unnecessary anxiety you may be feeling. Educate yourself on your symptoms by reviewing the content on this Web site. Also, take some time to review our staff page and familiarize yourself with the doctor. We look forward to your first visit.
|Monday:||8:00 AM - 5:30 PM|
|Tuesday:||8:00 AM - 5:30 PM|
|Thursday:||8:00 AM - 5:30 PM|
|Friday:||8:00 AM - 2:00 PM|
|Saturday:||8:00 AM - 1:00 PM|