Patient Online Forms
ADULT FORMS- Please fill out the online forms completely. Your online forms will be delivered to us safely and securely. We will see you soon.
CHILD FORMS - Please fill out the online forms completely. Your online forms will be delivered to us safely and securely. We will see you soon. Authorization of Medical Release
RECORDS RELEASE FORM -a release of records is necessary for the transfer of your current x-rays from your previous office to us, please fill out this form and send/fax it to them. This will expedite the transfer of your current x-rays to us saving you time and money. Thank you.
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What To Expect
Being well-prepared for your appointment will ensure that Dr. Bailey has all of the needed information to provide the best possible care for you. Make a list of any problems, concerns or questions to help relieve any unnecessary anxiety you may be feeling. Your first visit to our office will include a comprehensive dental examination and any necessary xrays will be taken. Our Drs. and team understand that emergencies happen and we make it a priority to make you comfortable when you need us most . You may want to review our team page to familiarize yourself with Dr. Terese and Richard and their team. We look forward to your first visit.
Bailey Family Dental is conveniently located about 3 miles north of I94 just east off of Hwy 83 or just south of Hwy 16 off of Hwy 83. We are located just south of the Piggly Wiggly grocery store.