Patient Information

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Please bear with us as we update our communications system in the office. Your patience is appreciated.

NEW PATIENT FORMS:   Please complete each one.

Patient Registration

Medical History

Financial Responsibility

HIPPA Acknowlegement

If you are unable to complete forms online, please arrive to new patient appointment 15 min early to complete the necessary paperwork. Thank you. 

Rainbow Valley Dental is a private fee for service dental practice. We make every effort to provide family dentistry at affordable fees. Not everyone is fortunate enough to have a dental benefits plan and at our practice you don’t need a network.

  • Always provides clear financial information prior to beginning treatment.
  • Never outsources dental laboratory work – all dental restorations are made in the USA of FDA approved materials.
  • Maintains state of the art sterilization and infection control procedures.
  • New patients accepted
  • Dental insurance claims filed electronically

Dental Insurance – Frequently Asked Questions

New Patients are always welcome.

A first visit at a new dental practice can be a bit intimidating. We want to make sure our patients are comfortable with our care. We believe it is important to be able to make informed decisions about dental treatment.  A first visit with a new patient can take many forms.

Preventive Visit

This visit includes a complete new patient work-up a chance to speak with a dentist about any concerns or conditions.  Adults receive an oral cancer screening.   A thorough dental cleaning and home care products will be reviewed. If treatment is needed a treatment plan will be developed based on your needs and concerns.

  • Comprehensive Exam  & Treatment Planning     
  • Necessary X-rays  
  •  Dental Cleaning        
  •  Preventive Fluoride Therapy    
  •  Home Care Instructions & Take Home Kit 

A First Visit for the patient with an urgent concern

We want our patients to be comfortable. We will see a new patient “emergency” After we have addressed the urgent concern we will schedule a preventive visit.

  • Problem Focused Exam  
  • Necessary X-rays  
  • Initial Treatment of concern to relieve pain

Second Opinion

If you are seeing another dentist and would like another opinion, we can help. Just bring whatever x-rays or information you have about your recommended course of treatment. We will evaluate your needs and treatment recommendations.

These are samples of the most common first visits at Rainbow Valley Dental.  Each patient has individual needs and we will treat each patient based on their individual needs and concerns.

We Care:

At Rainbow Valley Dental we feel it is important for all of our patients to get the dentistry they need at the lowest possible fees.  We feel that it is important for our patients to understand their oral health and participate in treatment decisions.

No Insurance? Save Money with the Healthy Smiles Club

Good oral health is key to a healthy body.

Children are always welcome at Rainbow Valley Dental.

We provide all aspects of dental care, fillings, crowns, tooth replacement, implant services, denture services, periodontal therapies, endodontic therapies, Invisalign orthodontics, children’s dentistry and complete range of cosmetic dental procedures.  All of our dental appliances are manufactured in the USA.

We provide dental services to our neighbors in Coatesville, Valley Township, Sadsburyville, East Fallowfield, Parkesburg, Thorndale and the surrounding communities. Our dentist is always happy to welcome a new patient to our dental family.

We’re a full-service, family-friendly dental practice.