New Patient Information

Please download and printout the forms below and fill out before your first visit with us.

(Download New Patient Forms )
All included in one printable PDF file

  1. Patient Information Form
  2. Financial Information Form
  3. HIPPA Authorization Form
  4. Medical Information Release Form
  5. General Consent Form

AdobeReaderGet Adobe Reader



Our goal is to provide children with a fun, relaxing and educational experience when they visit the dentist. At the first visit, your child will have any necessary X-rays taken and a cleaning performed. The visit will include instruction on good oral hygiene, fluoride treatment to help prevent cavities and a thorough orthodontic assessment. The treatment provided at each visit is age-appropriate for each stage of your child’s development.

We usually recommend you bring in your child for their first appointment either when you feel they are ready or around the age of 3 years old for preventative care. Anytime you have a concern about your child’s oral health at any age let us know.



We’re always welcoming new patients of all ages to our practice in Maryville,TN.

For those who are joining our family of patients, you will be scheduled for a 60-90 minute new patient visit with the doctor and hygienist. Necessary radiographs will be taken, along with a complete periodontal and oral examination. Based on these findings the type of cleaning you need will be discussed and either scheduled or completed.

This time is reserved especially for you to ensure that you can receive a thorough examination and consultation with Dr. Kote. He looks forward to getting to know you and your family, discussing your expectations for your smile, and contributing to a lifetime of optimum oral health. We make it a point to provide patients with all of the information they need to make decisions that meet their objectives, fit their budget, and work with their schedule.

Our goal is not only to take care of our patients’ dental needs, but also to get to know each person by name and treat them like we’d want our own family to be treated.