Dr.Kotz
Jeffrey C. Kotz, D.M.D.
Endodontics

We put together some helpful resources for our patients, including forms, useful links, and home-care tips. Please find these resources below.

 

Patient Information Forms

Help save time during your visit by printing, filling out and bringing with you the following THREE pages:

• Patient Registration Form. This form will provide us with all of your personal information to enter into our database.
• Medical History Form. This form will provide us with all of your medical information to help us treat you properly.
• Letter to Our Patients. This letter provides you with important information regarding our services.
  
  

Registration Documents (all three pages in a single PDF document)

 

Home-Care Tips

Included below is some helpful information for you to review following your treatment. Please click on the sentence below that describes the treatment you have received:

• My root canal was started, but has not been completed yet. “Orange Slip”
• My root canal has been completed. “Blue Slip”
• My endodontic surgery has been scheduled, but not completed yet. “Pre-surgical Instructions”
• My endodontic surgery has been completed. “Post-Surgical Instructions”
  
  

Other Useful Links

Here are a few links that we think might be useful for some patients.

• Root Canal Frequently Asked Questions
• Root Canal Myths
• Endodontic Surgery Frequently Asked Questions