Patient Information & Forms

We have provided a series of PDF documents that you can print and bring to our office or use as general reference for your convenience.

Financial Policy Document - This is a statement of our financial policy which we require you to read and sign prior to any treatment.  It covers items such as requirements related to insurance, minor patients, assignment of benefits, missed appointments, and unpaid balances.

(click here to see the PDF financial policy document)

Patient Medical History Form - The covers any sorts of reactions and general medical related issues.

 

 

Wolftever Dental
Todd E. Ealy D.D.S.

9203 Lee Hwy Suite 16
Ooltewah, TN 37363
(423) 238-5744
(423) 238-5786 Fax

Office Hours:
Mon 8-5
Tue 8-5
Wed 12-7
Thur 12-7

We are conveniently located next to the Ooltewah Bi-Lo grocery store.

 

 

 

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