Already have an appointment?

To save you time at your initial visit, we have provided the necessary new patient forms below.  Simply download the form, complete and bring with you to your appointment.  If you need any assistance, or have any questions, please do not hesistate to call our office.      513-829-4400

All New Patients - Fill out the appropriate New Patient Form (Adult or Child) and Sleep Form

If you are experiencing jaw problems, such as pain, noise in the joint or headaches, fill out the TMJ Form as well.

Downloadable Forms:

ADULT NEW PATIENT FORM            SLEEP ASSESSMENT FORM    

CHILD NEW PATIENT FORM             TMJ FORM                                           

The Initial Visit

We want to make your first visit with us as easy and relaxing as possible.  This appointment is complimentary, and usually lasts about one hour.  You will meet with one of our two treatment coordinators, Brenda or Lynn who together have 50 years of experience working with Dr. Diers.  They will tell you all about Dr. Diers, his philosophy, education and experience.  Dr. Diers will examine the patient and review with you his initial findings regarding treatment.  Together, the treatment coordinator and you will have ample time to discuss the treatment options, the office and all of your questions regarding finances and insurance.  If you are anxious to get started in treatment, we are ready for you!  We have reserved additional time for you to have diagnostic records taken if you so desire.  There is a fee of $280 if you choose to have records taken, however this can save you an additional appointment or trip to the office.  Diagnostic records, which include x-rays, photographs and impressions of the teeth, are taken in order for the Doctor to thoroughly diagnose your case, and for appliances to be made if neccessary.  This appointment has been reserved especially for you.  If you are unable to make your appointment for any reason, please notify our office within 48 hours of your scheduled time.

Contact Us

If you would like to schedule an appointment, want more information, or would simply like to offer some feedback about our office, fill out the form below.  We are always striving to improve our practice in every aspect; from offering the latest in technological advances to offering a variety of flavored gloves!  However, we know that there will be times when we "could have done better".  We want to here about those times, as well as the the things you love about us.  These are the comments that help us improve.   Or you can give us a call at 829-4400.