Patient Forms, Map and Directions to Ellington Office

Your first visit to Ellington Dental Associates, P.C. 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, practice hours, payment policies under our office tab 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.

Mission Statement

"It is our goal  to have a shared vision with you, for a lifetime of exceptional dental care and knowledge, so that you achieve and maintain your optimum dental health, in a respectful and caring environment."

To fulfill this  mission we are committed to:

• Listening to those we are privileged to serve.
• Earning the trust and respect of patients, colleagues and community.
• Exceeding your expectations.
• Ensuring a compassionate, professional and friendly environment.
• Striving for continuous improvement.

We believe,together with our patients, we become a team for treating each individual dental need. We listen to your concerns and provide the very best treatment options for you.

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Patient Forms
Please print and fill out these forms so we can expedite your first visit:

Adult History Form Side 1 (18years and up)

Adult History Form Side 2

Young Adult History Form Side 1(14years up to age 18)

Young Adult History Form Side 2

Child History Form Side 1

Child History Form Side 2

Financial Policy Form

Patient Privacy Practice Form

HIPAA Consent Form

In order to view or print these forms you will need Adobe Acrobat Reader installed. Click here to download it.

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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. Under the service tab you will find a description of what an initial appointment will entail. We look forward to your first visit.

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Driving Directions

Our office is located in the Meadowview Plaza on West Rd, Ellington , which is also route 83.