Patient Information

Dr. Bergens and staff are proud to be a team whose primary mission is to deliver the finest and most comprehensive periodontal services available today. We are concerned about your dental care and want to ensure you that it is performed in the most responsible manner. In order to assist you with the investment in your dental health, we have outlined our payment policy.

Please assist us at the time of your initial visit to the office by providing the following information

  • Typically, with your authorization, our office will obtain your most recent radiographs directly from your referring dentist or previous dentist for your convenience. If existing x-rays are not current (older than 1 year), Dr. Bergens may require updated radiographs, which can be performed at our office on your first appointment.
  • A thorough medical/dental history, including allergies and all medications (prescription and over-the-counter) you are currently taking. Please note that you may fill out your Patient Registration form on our website. If you have any problems or questions, please ask our staff.  They can be reached by phone at 386-258-2213.