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New Patient Forms

Welcome Inspired Dental Care Patients and Families

On behalf of your Inspired Dental Care team we want to thank you for trusting us to be your new dental home. Please complete the New Patient registration and Health History forms using the link below. For your convenience we have provided a list of items needed at your appointment to ensure a smooth process. Please call (443) 863-2273 in advance of your appointment should you have any questions or concerns.

Note: The paperwork should be completed for each patient.

Please bring the following items when you come to your appointment:

1. Insurance Card or printout

2. Drivers License or state issued ID

3. Any previous x-rays taken within the last year (Panoramic, Bite-wings, Full mouth series, and individual PA’s). The previous dental office can email us

at info@inspireddentalcaremd.com or fax your records to 443-863-7111. In the event this is new dental insurance that you are utilizing for the first time please disregard this item.

Get in Touch

If you have any questions about our practice or would like to schedule a consultation with your Hanover dentist, Dr. Millery at Inspired Dental Care, give us a call today at (443) 863-2273 or request an appointment online!

Contact Us Today!

(443) 863-2273

7581 Buckingham Blvd. Suite 100
Hanover, MD 21076
Get Directions


OFFICE HOURS

MONDAY // 9:00am-4:00pm
TUESDAY // 9:00am-4:00pm
WEDNESDAY // by appointment only
THURSDAY // 9:00am-6:00pm
FRIDAY // 9:00am-2:00pm
SATURDAY* // 9:00am-2:00pm
*Call for select days.

Would you like a call back?

If it’s after hours or you would like to schedule via email, please fill out the form below and someone from our office will get back to you on the next business day!

Do not include sensitive personal, financial, or other confidential information (social security, account number, login, passwords, etc.).

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