1000 Eleven South Suite 3F, Columbia, IL 62236, US

(618) 281-9729

(618) 281-9729

  • Home
  • Where to start
  • New Patient Paperwork
  • GROW Program
  • Tongue Tie Assessment
  • Educational History
  • Our Team
  • Training and Technology
  • Patient Resources
  • SmileSavers
  • Provider Resources
  • Testimonials
  • Dr. Tenholder's CV
  • WOPAT sleep device
  • Children & Families
  • Adults
  • Your First Visit
  • Patient Resources
  • About Us
  • For Providers
  • More
    • Home
    • Where to start
    • New Patient Paperwork
    • GROW Program
    • Tongue Tie Assessment
    • Educational History
    • Our Team
    • Training and Technology
    • Patient Resources
    • SmileSavers
    • Provider Resources
    • Testimonials
    • Dr. Tenholder's CV
    • WOPAT sleep device
    • Children & Families
    • Adults
    • Your First Visit
    • Patient Resources
    • About Us
    • For Providers
  • Home
  • Where to start
  • New Patient Paperwork
  • GROW Program
  • Tongue Tie Assessment
  • Educational History
  • Our Team
  • Training and Technology
  • Patient Resources
  • SmileSavers
  • Provider Resources
  • Testimonials
  • Dr. Tenholder's CV
  • WOPAT sleep device
  • Children & Families
  • Adults
  • Your First Visit
  • Patient Resources
  • About Us
  • For Providers
Synergy Dental Solutions

Dentistry Done Differently

Dentistry Done DifferentlyDentistry Done Differently

Your First Visit

What to expect, and how to get ready

Three steps to your first visit

  1. Call or send us a message. We'll talk through what brings you in and find the right first appointment.
  2. Complete your forms. Customized care starts with a complete history, so please finish your forms at least 48 business hours before your visit. Without them, we may need to reschedule.
  3. Come in and tell us your story. Your first visit is about listening, a thorough evaluation, and a clear conversation about options.

New patient forms

Please complete the forms for your type of visit. If anything is unclear, call us at (618) 281-9729.

Everyone

New Patient PaperworkNew Patient Form, Ages 0 to 4Dental Records Release (to Synergy)Patient Photo ReleaseGeneral Consent for TreatmentHIPAA Authorization to Release Records

Craniofacial pain and sleep

Medical Screening & AssessmentHeadache AssessmentM2 · Monitoring MyselfBody Pain Assessment

GROW and NeuralFORM Dental Device Therapies

GROW Clinical Screening IntakeGROW: My StoryGROW: Progress Form

Other

Wholeistic ChoicesSmileSavers ContractPWA Membership Agreement

Good to know

  • Deposits. We hold your appointment time just for you, so new appointments require a deposit, much like a hotel or rental car reservation.
  • An exam comes first. A dental examination is needed before specialized appliance therapy begins.
  • PWA agreement. NeuralFORM Dental Device Therapies and non-surgical laser therapies require our Professional Wellness Alliance Membership Agreement.
  • We're your dental home. As a general dental office providing specialized services, we take responsibility for your overall dental health, not just one treatment.

Insurance and SmileSavers

We work with most dental insurance plans and are glad to help you understand your benefits. No dental insurance? Our in-office SmileSavers plan may be a good fit.

Learn about SmileSavers

Come see us

Synergy Dental Solutions, 1000 Eleven South, Suite 3F, Columbia, IL 62236

Phone (618) 281-9729

Fax (618) 281-9734

Email WeCare@WeAreSynergy.com

Hours

  • Monday to Wednesday, 8:00 am to 5:00 pm
  • Thursday, 8:00 am to 3:00 pm
  • Friday to Sunday, closed

Call (618) 281-9729

Questions before your visit? Send us a note and we'll get back to you during office hours. Please don't include health details in this form; we'll talk about those by phone or at your visit.

Send us a message

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