We want to care for you as a whole person. Please tell us if you have any of the following concerns - or others - that we need to be aware of.

• I have a strong gag reflex
• Lying in the dental chair makes me feel out of control
• I am nervous that I'll be judged because I have not visited a dentist in a long time
• My main concern is pain control
• Injections make me nervous
• I have a bad physical reaction to dental injections
• My teeth are sensitive
• The dental hook that probes for cavities makes me nervous
• I don't like the sounds of dental tools
• Please don't use cotton in my mouth
• I don't know much about dental care, so I need education and instruction
• My time is very limited, so please don't make me wait
• Please tell me what to expect financially; I do not like surprises
• I will forget what you tell me while I am in the dental chair
• I have special health concerns (diabetes, medications, etc.)

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