303-776-4090 SAFE and PAIN FREE DENTAL CARE

Longmont Dentist

New Patient Form

Dr. Coats, your Longmont Dentist, is always welcoming new patients to our Longmont dental practice.

If you have already scheduled your new patient exam and need to provide us with your health history and insurance information please download or print the Patient Information form. Any information submitted to Dr. Coat's office is confidential. Our Consent for Use and Disclosure of Health Information policy provides the information that federal law requires us to give our patients regarding our privacy practices.

Download or print the New Patient Welcome Letter.

Download or print the Patient Information Form.

Patient Financial Agreement Form

This form provides new and existing patients with our financial policy and agreement regarding payment for dental services.

Download or print the Financial Policy Form.

HIPPA Notice of Privacy Practices Forms

The Notice of Privacy Practices and Consent for Use and Disclosure of Health Information forms provides the information that federal law requires us to give our patients regarding our privacy practices.

Download or print the Notice of Privacy Practices Form.

Download / print Consent Use and Disclosure of Health Information Form.

Dentist in Longmont

New Patients Welcome

Dr. Brian Coats, your Dentist in Longmont is always welcoming new patients to our office. Request a new patient exam or fill out a patient health history.

Schedule an exam with Dr. Coats, your hometown dentist in Longmont.