Welcome to Cottonwood Heights Dental, Dr. William
M. Sergakis, D.D.S. We want provide the caring difference that will
change the way that you feel about going to the dentist.
In order to help you be prepare for your visit we have our Medical history for online for you to print, then fill out at your convenience and bring with you.
Click here to print a copy Medical History Form
If you would like to read our Office Policy and Truth in Lending Policy it is downloadable here.
Office Policy and Truth in Lending Policy Form
Our HIPAA Patient for is downloadable here as well if you would like to review it before coming to the office.
HIPAA Patient Consent From
If at some time you need to revoke you HIPAA Consent you can download the form and send it to us as written notification of that revocation.
HIPAA Notice of Revocation of Consent Form
We look forward to providing you with the best in Dental Care and building a rewarding relationship with you as your dental professionals.