Welcome New Patients
What to bring to your first visit:
- Your referral slip and x-rays from your referring dentist.
- A list of medications you are currently taking (please note that you can fill out your patient registration and medical history form on our website.)
- If you have dental insurance, please bring any forms or insurance cards with you to the appointment.
- Fill Out Patient Registration Forms.
Please Note: All patients under 18 must be accompanied by a parent or guardian at the consultation appointment.
Please notify the office if you have a medical condition or concern prior to surgery (e.g. artificial heart valves or joints, heart murmurs requiring pre-medication, severe diabetes, or hypertension).
We will complete an in-depth medical and dental health history and a thorough examination to measure for bone loss, loose teeth, bite, oral cancer screening, TMJ, and other signs of periodontal disease.
Peoria, IL 61614
Phone: Peoria Office Phone Number 309-693-2220
Trust Us for Your Periodontal Needs
Dr. Cusack provide a variety of surgical services for the treatment of periodontal issues. Contact us for more information.