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Havrilla Center for Periodontics & Dental Implants
  • About Us
    • Meet Dr. Havrilla
    • Meet the Staff
  • Patient Info.
    • New Patients
    • Online Payments
    • Financial Information
    • Patient Forms & Post-Operative Instructions
    • Scheduling & Office Hours
    • Directions & Map
    • How to Cope with the Fear of the Dentist
  • Gum Disease
    • What is Periodontal Disease?
    • How is Periodontal Disease Treated?
    • The Mouth-Body Connection
    • Supportive Periodontal Therapy
  • Dental Implants
    • NobelPearl
    • Replacing a Single Tooth
    • Replacing Multiple Teeth
    • Teeth In The Same Day
    • Implant Retained Dentures And Bridges
    • The Effects of Tooth Loss
    • Sinus Lift for Implants
  • Procedures
    • Patient Comfort & Sedation Options
    • How to Cope with the Fear of the Dentist
    • Soft Tissue Grafting
    • Esthetic Crown Lengthening & Gingival Contouring
    • Ridge Augmentation
    • Functional Crown Lengthening
    • Guided Tissue Regeneration
    • Bone Grafting
    • Cosmetic Periodontics
  • Blog
  • Referring Doctors
  • Contact
Havrilla Center for Periodontics & Dental Implants
Referring Doctors
Make An Appointment
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(610) 328-9608
Marple Commons
2004 Sproul Road, Suite 204
Broomall, PA 19008 Get Directions
  • About Us
    • Meet Dr. Havrilla
    • Meet the Staff
  • Patient Info.
    • New Patients
    • Online Payments
    • Financial Information
    • Patient Forms & Post-Operative Instructions
    • Scheduling & Office Hours
    • Directions & Map
    • How to Cope with the Fear of the Dentist
  • Gum Disease
    • What is Periodontal Disease?
    • How is Periodontal Disease Treated?
    • The Mouth-Body Connection
    • Supportive Periodontal Therapy
  • Dental Implants
    • NobelPearl
    • Replacing a Single Tooth
    • Replacing Multiple Teeth
    • Teeth In The Same Day
    • Implant Retained Dentures And Bridges
    • The Effects of Tooth Loss
    • Sinus Lift for Implants
  • Procedures
    • Patient Comfort & Sedation Options
    • How to Cope with the Fear of the Dentist
    • Soft Tissue Grafting
    • Esthetic Crown Lengthening & Gingival Contouring
    • Ridge Augmentation
    • Functional Crown Lengthening
    • Guided Tissue Regeneration
    • Bone Grafting
    • Cosmetic Periodontics
  • Blog
  • Referring Doctors
  • Contact

Patient Info.

Patient Forms & Instructions

Initial Patient Forms

To speed your initial visit with us, please complete the following forms.

  • Patient Information
  • Medial History
  • Dental History
  • Authorizations and Acknowledgements
  • Communication Release

Post-Operative Instructions

Click below to download the post-operative instructions.

  • Post Operative Instructions for Extraction
  • Post Operative Instructions for Grafts
  • Post Operative Instructions for Implants
  • Post Operative Instructions for Osseous Surgery

 

Patient Information

  • Patient Info.
  • Financial Information
  • Patient Forms & Post-Operative Instructions
  • Scheduling & Office Hours
  • Directions & Map
  • Contact
HAVRILLA CENTERFOR PERIODONTICS & DENTAL IMPLANTS (610) 328-9608
Marple Commons
2004 Sproul Road, Suite 204
Broomall, PA 19008

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  • Home
  • Meet Dr. Havrilla
  • New Patients
  • Contact
  • How is Periodontal Disease Treated?
  • Dental Implants
  • Teeth In The Same Day
  • Cosmetic Periodontics
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