Patient Forms, Map and Directions to Elyria Office
Your first visit to Pegg Vanek, DDS involves a few special steps so that we can get to know you. To understand what to expect, please read through this page. You'll find all the practical information you need, such as a map and directions to our office and more. There's also background information about our committed staff and our first visit procedures. You can also save some time by printing out and completing the patient forms in advance of your appointment. Due to staffing shortage we are not taking new patients at this time.
Please print and fill out these forms so we can expedite your first visit:
- Acknowledgement of Receipt of Notice of Privacy Practices
- Insurance Form
- New Patient Adult Form [Online]
- New Patient Kids Form [Online]
In order to view or print these forms you will need Adobe Acrobat Reader installed. Click here to download it.
What To Expect
Being well-prepared for your appointment will ensure that the doctor has all of the needed information to provide the best possible care for you. It also will help relieve any unnecessary anxiety you may be feeling. Educate yourself on your symptoms by reviewing the content on this Web site. Also, take some time to review our staff page and familiarize yourself with the doctors. We look forward to your first visit.