Nancy R. Ekelman, D.D.S.
Periodontics and Oral Implantology
 


PATIENT INFORMATION

Our office hours are Monday thru Friday from
8am-6pm. To arrange a consultation appointment, please call us at 212.505.8787
or email at ekelmanperio@gmail.com
Our staff is available to assist you and we look forward to meeting you.

PRIOR TO YOUR INITIAL VISIT, you must provide the following information:
a completed registration questionnaire and medical questionaire form (sent to you by
our office)
a referral slip and recent radiographs from your referring dentist. Your dentist can
send digital radiographs to
ekelmanperio@gmail.com
one day prior to your appointment. If radiographs are more than one year old or incomplete, we will take digital (computerized) radiographs. These
x-rays will be electronically sent to your dentist along with a diagnostic report after your initial visit.
a completed insurance information.
If your spouse or partner is the primary subscriber, be sure to have their information available for proper and expeditious insurance processing.
Please click here for insurance information

Please notify the office if you have a medical condition or concern prior to a surgery (artifical heart valves, blood thinner medication, history of bacterial endocarditis, diabetes, organ transplants, etc). Please note new American Heart Association recent revision for antibiotic prophylaxis: www.ada.org

Please inform Dr. Ekelman if you are currently taking intravenous (IV ) bisphosophonates or oral bisphosohphonates.
Please click here for information on biosphosophonates

 
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250 Park Avenue South • New York, NY 10003
T 212.505.8787 • F 212.505.8805