Patient Forms, Map, and Directions

 

Your first visit to Stephanie L Mullins, DDS,MS, LLC involves a few special steps so that we can get to know you. On this page, you'll find all the practical information you need, such as new patient forms, a map and directions to our office, payment policies, and more. New patient forms can be found below. Feel free to complete them online, or if you prefer, you can print them to fill out and bring along. You may also fill out your forms when you arrive to your appointment.

Patient Forms

The following forms are available for you to fill out online or to print and bring along with you to your first appointment. Please complete all four questionnaires. Please let us know if you have any questions! 

NEW PATIENT QUESTIONAIRES

 

In order to view these forms you will need Adobe Acrobat Reader installed. Click here to download it.
 


 
Your First Visit

When you arrive for your first visit, please make sure to have your insurance card and identification available. Also, if your referring dentist gave you a referral slip and/or x-rays, please bring those with you, as well. At your first visit we will go over your concerns, health history, and options for treatment. In some cases, treatment can be performed the same day as your initial visit. In other cases, a separate initial consultation is needed.

If you have any questions or concerns about your first visit to our office, please don't hesitate to call. We are more than happy to help with anything you may need!



Financial Information

Dr. Stephanie L. Mullins, DDS, MS, LLC is more than happy to take care of claim submission and estimates of benefits for all of our patients! Payment types accepted are credit cards, personal checks, cash, or Care Credit.  You can find a more complete breakdown of our financial policies in our Financial Policies section.



Map and Directions

Stephanie L. Mullins DDS, MS
Endodontist, Periodontist,
and Dental Implants

3470 NE Ralph Powell Rd. Suite C
Lee's Summit, MO 64064

Phone - 816.524.9800       
Fax - 816.524.9801