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(405) 216-3735
  • Home
  • Dental Implants
    • How Much Do Dental Implants Cost?
    • What Are Dental Implants?
    • Why Dental Implants?
    • Other Frequently Asked Questions
    • The Dental Implant Procedure
    • Bone Grafting for Dental Implants
    • Better Dental Implants with 3D CBCT
    • Success Rates of Dental Implants
    • Dental Implants vs Dentures
    • Type of Dentures
    • What Are All-On-4 Dental Implants?
    • The Prettau Bridge
  • Oral Surgery
    • Facial Trauma & Injuries
    • Tooth Extraction & Removal
    • Impacted Canines
    • Wisdom Teeth Removal
    • Orthognathic Surgery
    • Anesthesia Options
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  • Testimonials
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    • Meet Dr. Ken Templeton
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    • Patient Forms
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Patient Forms

Please bring the following to your first appointment:

  • New Patient Forms (see below)
  • Driver’s License
  • Insurance Cards (medical and dental)

Please download and complete the new patient forms and bring them to your first appointment. This will greatly speed up the process of registering you as a new patient. Thank you and we look forward to seeing you!

Required New Patient Forms

  • New Patient & Health History
  • Financial Policy
  • HIPPA (Consent for Use & Disclosure of Confidential Health Information)
  • Cancellation Policy

Optional Patient Forms

  • Pre-Operative Instructions
  • Post-Operative Instructions
  • Medication Instructions

Printing Directions

Normally when you select a form, it will open it in a new browser tab/window and can be printed from there. However, in some cases the form has to be downloaded to the computer in order to print. Select the download option and navigate to where your computer saves downloads. Often this is the “Downloads” folder. If you have the option of selecting where to save the form, you may want to simply save it to your desktop. Once the form has been downloaded to your computer, you should be able to print it. Please contact us if you have any problems printing the forms.

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CONSULTATION
with Dr. Templeton

NOW ONLY $93

INCLUDES:
One-hour consultation
3D CBCT Scan
Panoramic X-ray

Call (405) 216-3735
Schedule Online Today!

What Our Patients Say

Testimonials

We had a wonderful experience with Dr Templeton. My daughter had her wisdom teeth removed and he personally called to check on her after surgery. We will definitely recommend him to everyone.

Nicki T

Concerned About The Costs Of Dental Implants?

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Our Location

Revitalize Dental Implants
125 East 3rd Street, Suite A
Edmond, OK 73034
Phone: (405) 216-3735

Hours

Mon - Thurs: 9am - 4pm
Friday: 9am - 12pm
Sat-Sun: Closed

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