First Visit/Forms

s-perfectSmile3Thank you for choosing our office for your dental needs. We have created a comfortable environment where you can feel confident in the level of dental care you receive. When you arrive for your first visit, please be prepared to complete all insurance and health information forms that will allow us to begin your dental treatment.

Your initial exam will last approximately ninety minutes. This visit will help us get acquainted with each other and learn about your goals and desires for your dental treatment. Generally, X-rays will be taken allowing your doctor to examine the jaw’s structure, teeth position and teeth decay. Oral hygiene instructions will also be provided along with suggestions to help you care for your teeth. In most cases, we will also clean your teeth on this visit and provide an evaluation that will outline your existing dental problems and proposed treatment.

We believe that good dental care begins with open communication. We promise to speak candidly with you about any symptoms present that may require further dental treatment, our diagnosis, alternative treatments that may exist, and our recommendations. Working together, we can achieve a true partnership, with one common goal-keeping your smile beautiful and your teeth, gums and jaw joints healthy!

Patient Forms

You may access the following forms to assist us with your care. If you are using the online forms, please complete and submit the forms via this website. If you are printing the forms, please print and complete the forms, and bring them to your appointment.

Online Forms

Printable Forms


adobe 

*These forms require Adobe Acrobat Reader. Click the Adobe logo above to download.

**We are committed to keeping your personal information secure. All of our online forms are submitted via a secure connection and are HIPAA compliant.

***For Apple/Mac Users: You must use Adobe Acrobat Reader to submit the forms. To do so, simply right click on the form and save form. Open form in Acrobat Reader, fill out the form and submit.

Steven J. Ritzi, DDS, INC

  • Ritzi Dental - 235 S. Garber Dr., Tipp City, OH 45371 Phone: 937-667-2314 Fax: 937-667-7278

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