Thomas Nykamp, DDS

A Family Dentist Practice including General, Cosmetic, and Restorative Dentistry

First Dentist Appointment Q & A

What to Bring to My First Dentist Appointment

New Patients should bring to your first dentist appointment your current and historical medical information.

Any dental insurance plan information should also be brought with you to your first dentist appointment.

Save Some Time

You can save time if you download the “New Patient Information Form” — and you will be able fill it in with your computer.*

Click here to download the New Dental Patient Information Form and save it to your computer and then gather the information needed and conveniently complete the required information before your first dentist appointment.

If you can’t complete the form on your computer — no worries — you can always just print the form and complete it by hand.

You can upload your completed form, sending it directly to us in advance of your new patient appointment. Click here to Upload your completed New Dental Patient Information form.

* To be able to fill in the form on your computer, you may need to open the New Patient Form file with a PDF viewer program like Abode Reader.

new patient dental appointment information

HIPPA Privacy Practices

When you come for your first dentist appointment, we will provide you with a printed copy of our HIPPA Notice of Privacy Practices. To read this information now, click on the link above.

We encourage you to read/review the HIPPA Notice of Privacy Policy now — saving even more time at the dentist office before your appointment. Click on the box below to acknowledge your receipt of the HIPPA Notice of Privacy Policy.

Acknowledge Receipt of the Notice of Privacy Practices

If you are a new patient and have downloaded, signed, and dated the Acknowledgement of Receipt of Notice of Privacy Practices, use the form below to upload/send the completed Acknowledgement Form to Dr. Nykamp's office.

Full Name*
First Middle Last
Email*
Enter Email Address Confirm Email Address
Acknowledgement*
I have received the Notice of Privacy Practices
By way of this acknowledgement, I affirm that I have downloaded and received a copy of the HIPPA Notice of Privacy Practices document of the Dentist Office of Thomas L. Nykamp, DDS, PLLC.
Upload/Send your signed & dated Acknowledgement Formof Receipt of Notice of Privacy Practices*
Accepted file types: pdf, Max. file size: 50 MB.
Phone
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Contact Us

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Dentist Office

2540 Woodmeadow DR SE
Grand Rapids, MI 49546

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Telephone

Tel: 616-452-5721
Fax: 616-452-0514

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The Dentist's Hours

Monday, Wednesday, Thursday
                  8:00 am - 12:30 pm
                  2:00 pm - 6:00 pm
Lunch:    12:30 pm - 1:45 pm
Tuesday: 1:00 pm - 8:00 pm

Closed: Friday - Sunday

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