Patient Information

Get a healthy, gorgeous smile at Haller Dental


The staff at Haller Dental is committed to providing excellent dental care in a comfortable environment where patients can relax and feel at ease. Here you will find information on what to expect during your first appointment along with links to patients forms and paperwork.


New Patient Forms

Download the forms below and bring them with you to your first exam.


Registration and History
Registration Page 2


Patient Consent


Dental Treatment Consent


Your Medication List




Making an Appointment

It is easy to make an appointment for your initial examination and dental treatments with Haller Dental. Simply call 573-364-7969 and one of our friendly team members will be happy to assist you. If you schedule an appointment and something comes up, please call and cancel 24 hours in advance so that we can accommodate other patient requests.

Your First Visit to Haller Dental

Walk into our lobby where you will be greeted by our friendly staff. We will provide you with new patient paperwork that includes a health questionnaire, request for your insurance information and contact information. We will also provide you with information to familiarize you with our office and how we handle things like patient privacy.

Initial Examination

Your initial dental exam will take around one hour. The expert staff at Haller Dental will ask you questions, get to know your oral hygiene routine, and listen to your health concerns. We believe in educating patients and empowering them to make good choices to improve their oral health. We will demonstrate how to properly care for your teeth and make additional suggestions as needed. Our Dental Hygienist will clean your teeth then Brian E. Haller, DMD will complete your examination and make recommendations for proposed dental treatments.

Pain Concerns

We work to ensure our patients feel comfortable, and that includes minimizing their pain as much as possible. If you are undergoing a dental procedure, Brian E. Haller, DMD will meet with you to discuss your pain tolerance and create a plan for pain management. Working together, we will treat your dental health problems in a way that minimizes pain and enables you to get back to your life faster.

Dental Insurance

We accept a variety of insurance providers and endeavor to accommodate our patient’s request. Please call our office at 573-364-7969 to see if we are currently working with your insurance provider.

Our pricing structure is designed to ensure that patients are able to receive the high quality dental care they deserve. If your dental insurance will not cover all of your dental treatments, we will work with you to identify a payment solution. We are health care professionals first and will work with you to make sure you receive the treatment you need.

Financial Policy

Haller Dental provides high quality dental care to families throughout the Rolla area. We understand that every dental patient has different financial needs. We will work with you to find a solution that enables you to get the dental care you need, with or without insurance. Call our office to ask about our different payment options that may include cash, check, financing, and credit cards. We provide budget friendly dental care so call today and learn how Haller Dental is the solution to all of your oral health needs.
 
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