PATIENT FORMS

PATIENT INFORMATION FORM - ONE FORM PER FAMILY

GENERAL INFORMATION & MEDICAL HISTORY - USE AN ADDITIONAL FORM FOR EACH PATIENT (2 CHILDREN = 2 FORMS)

BEHAVIOR MANAGEMENT TECHNIQUES - ONE FORM PER FAMILY

ANTHEM PEDIATRIC DENTISTRY FINANCIAL POLICIES - ONE FORM PER FAMILY

ACCOMPANYING CHILD CONSENT FORM - USE FOR EACH PATIENT IF YOU WILL BE UNABLE TO ACCOMPANY YOUR CHILD TO THE DENTIST.

NOTE: YOU WILL NEED TO HAVE ADOBE READER INSTALLED ON YOUR COMPUTER TO BE ABLE TO VIEW AND PRINT THESE DOCUMENTS. CLICK ON THE FORM NAME TO ACCESS IT, THANK YOU. PLEASE PRINT AND COMPLETE THE FOLLOWING FORMS PRIOR TO YOUR FIRST VISIT.

HENDERSON OFFICE

2017 was a big year for Anthem Pediatric Dentistry! After 12 years in the same location, the decision was made to move the office down the street to a larger, more accessible building. It took 8 months to transform a jewelry store into a pediatric dental office. Finally, in August of 2017, the work was complete and Anthem Pediatric Dentistry officially moved in.


Our new office location allows us to increase efficiency and decrease wait and check-out times for parents and their children. We are happy to still have a "Prize Wheel", a dedicated "Train Room", and a larger, more comfortable waiting room. Our goal continues to be to provide the best possible pediatric dental care in a safe, loving environment.


In addition to having a larger pediatric area downstairs, the new location has allowed Anthem Pediatric Dentistry to add a smaller dental office upstairs. The upstairs office has made it possible for us to add an orthodontist, Dr. Alfred Thresher. Dr. Thresher has been working in the Las Vegas Valley for over 10 years and loves creating beautiful smiles. We are hoping to also add a general dentist in the future to care for our teenage patients.


We would like to take a moment to thank all of our parents and children who allow us the privilege of being their pediatric dentist. We continue to strive to be the premier pediatric dental office in Henderson and provide positive dental experiences for our patients.

10400 SOUTH EASTERN AVE HENDERSON, NV 89052 l 702.531.5437 l MONDAY-THURSDAY 8:00 AM - 5:00 PM (CLOSED FROM 12:30 - 2:00 PM FOR LUNCH) FRIDAY 8:00 AM - 12:30 PM

EAST LAS VEGAS OFFICE

Anthem Pediatric Dentistry opened its second location in 2010 providing quality dental care to children on the East side of Las Vegas. Instead of having to drive long distances to find a top-notch children’s dental office, parents now have an option closer to home.


Our Charleston office is located at the intersection of Charleston and Lamb, just East of the I-95. Our highly trained staff of dentists and assistants strive to provide the highest quality dentistry in a caring, compassionate atmosphere.


In addition, we feature digital x-rays and use state of the art dental materials. Rest assured, your child is receiving the best dental care possible.


Staffed by Pediatric Dentists, pediatric dental assistants and knowledgeable, front desk personnel, Anthem Pediatric Dentistry – Charleston is your preferred pediatric dental care provider!


4245 EAST CHARLESTON BLVD. LAS VEGAS, NV 89104 l 702.459.5437 l MONDAY-THURSDAY 8:00 AM - 5:00 PM (CLOSED FROM 12:30 - 2:00 FOR LUNCH) FRIDAY 8:00 AM - 12:30 PM

HENDERSON OFFICE INFORMATION

10400 SOUTH EASTERN AVE HENDERSON, NV 89052 l 702.531.5437
MONDAY-THURSDAY 8:00 AM - 5:00 PM (CLOSED FROM 12:30 - 2:00 PM FOR LUNCH)
FRIDAY 8:00 AM - 12:30 PM

EAST LAS VEGAS OFFICE INFORMATION

4245 EAST CHARLESTON BLVD. LAS VEGAS, NV 89104 l 702.459.5437
MONDAY-THURSDAY 8:00 AM - 5:00 PM (CLOSED FROM 12:30 - 2:00 FOR LUNCH)
FRIDAY 8:00 AM - 12:30 PM