{"id":4380828,"date":"2020-05-05T05:16:16","date_gmt":"2020-05-05T05:16:16","guid":{"rendered":"http:\/\/centralparkdentistry.com\/newsite\/?page_id=4380828"},"modified":"2026-03-09T13:19:22","modified_gmt":"2026-03-09T13:19:22","slug":"new-patients","status":"publish","type":"page","link":"https:\/\/centralparkdentistry.com\/site\/new-patients\/","title":{"rendered":"New Patients"},"content":{"rendered":"<p>[et_pb_section fb_built=&#8221;1&#8243; fullwidth=&#8221;on&#8221; _builder_version=&#8221;4.16&#8243; custom_padding=&#8221;|||&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_fullwidth_header module_class=&#8221;dct-header-title&#8221; _builder_version=&#8221;4.27.5&#8243; title_font=&#8221;||||||||&#8221; content_font=&#8221;||||||||&#8221; content_text_align=&#8221;center&#8221; background_color=&#8221;rgba(0,0,0,0.71)&#8221; background_image=&#8221;https:\/\/centralparkdentistry.com\/site\/wp-content\/uploads\/2026\/02\/CPD-209.jpg&#8221; background_blend=&#8221;overlay&#8221; custom_padding=&#8221;200px||208px|||&#8221; custom_padding_tablet=&#8221;&#8221; custom_padding_phone=&#8221;50px|||&#8221; custom_padding_last_edited=&#8221;on|phone&#8221; global_colors_info=&#8221;{}&#8221; button_one_text_size__hover_enabled=&#8221;off&#8221; button_two_text_size__hover_enabled=&#8221;off&#8221; button_one_text_color__hover_enabled=&#8221;off&#8221; button_two_text_color__hover_enabled=&#8221;off&#8221; button_one_border_width__hover_enabled=&#8221;off&#8221; button_two_border_width__hover_enabled=&#8221;off&#8221; button_one_border_color__hover_enabled=&#8221;off&#8221; button_two_border_color__hover_enabled=&#8221;off&#8221; button_one_border_radius__hover_enabled=&#8221;off&#8221; button_two_border_radius__hover_enabled=&#8221;off&#8221; button_one_letter_spacing__hover_enabled=&#8221;off&#8221; button_two_letter_spacing__hover_enabled=&#8221;off&#8221; button_one_bg_color__hover_enabled=&#8221;off&#8221; button_two_bg_color__hover_enabled=&#8221;off&#8221;]<\/p>\n<h1>New Patient Information<\/h1>\n<p>[\/et_pb_fullwidth_header][\/et_pb_section][et_pb_section fb_built=&#8221;1&#8243; _builder_version=&#8221;4.16&#8243; custom_padding=&#8221;4px|0px|0|0px|false|false&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_row column_structure=&#8221;1_2,1_2&#8243; make_equal=&#8221;on&#8221; _builder_version=&#8221;4.16&#8243; custom_padding=&#8221;63px|0px|13px|0px|false|false&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_column type=&#8221;1_2&#8243; _builder_version=&#8221;4.16&#8243; custom_padding=&#8221;|||&#8221; global_colors_info=&#8221;{}&#8221; custom_padding__hover=&#8221;|||&#8221;][et_pb_text module_class=&#8221;dct_h5_span&#8221; _builder_version=&#8221;4.16&#8243; text_font=&#8221;||||||||&#8221; text_line_height=&#8221;2em&#8221; header_font=&#8221;||||||||&#8221; header_3_font=&#8221;|||on|||||&#8221; header_3_line_height=&#8221;1.8em&#8221; header_4_font=&#8221;||||||||&#8221; header_4_text_align=&#8221;justify&#8221; header_4_line_height=&#8221;1.6em&#8221; header_5_font=&#8221;|||on|||||&#8221; header_5_line_height=&#8221;2em&#8221; text_orientation=&#8221;justified&#8221; custom_margin=&#8221;-13px|||&#8221; global_colors_info=&#8221;{}&#8221;]<\/p>\n<div>\n<h4>We welcome new patients and want to make your first visit as simple as possible for you.<\/h4>\n<p>Your first visit with us will of course be a little different than your subsequent visits.\u00a0 This is of course because we need to gather some important information about you prior to getting started.\u00a0 The main thing to be aware of is that you&#8217;ll need to complete some forms which we&#8217;ve included on this page for you to download and print out and complete prior to your first visit.\u00a0 In the future our office will allow you to do all of this safely and securely online, but for now please print and bring them with you.<\/p>\n<p>Don&#8217;t have a printer or way to complete these ahead of your visit?\u00a0 No problem, just arrive early for your first visit and our staff will be happy to provide you with these forms at that time.\u00a0\u00a0<\/p>\n<p>&nbsp;<\/p>\n<\/div>\n<p>[\/et_pb_text][\/et_pb_column][et_pb_column type=&#8221;1_2&#8243; _builder_version=&#8221;4.16&#8243; custom_padding=&#8221;|||&#8221; global_colors_info=&#8221;{}&#8221; custom_padding__hover=&#8221;|||&#8221;][et_pb_button button_url=&#8221;https:\/\/rwl.io\/3edob8R&#8221; url_new_window=&#8221;on&#8221; button_text=&#8221;1. Patient Information Form&#8221; admin_label=&#8221;Personal Information Form&#8221; module_class=&#8221;dct_btn&#8221; _builder_version=&#8221;4.16&#8243; custom_button=&#8221;on&#8221; button_text_size=&#8221;17px&#8221; button_font=&#8221;|||on|||||&#8221; button_icon=&#8221;&#x24;||divi||400&#8243; global_colors_info=&#8221;{}&#8221;][\/et_pb_button][et_pb_button button_url=&#8221;https:\/\/rwl.io\/36jZ29t&#8221; url_new_window=&#8221;on&#8221; button_text=&#8221;2. Health History Form&#8221; admin_label=&#8221;Medical History Form&#8221; module_class=&#8221;dct_btn&#8221; _builder_version=&#8221;4.16&#8243; custom_button=&#8221;on&#8221; button_text_size=&#8221;17px&#8221; button_font=&#8221;|||on|||||&#8221; button_icon=&#8221;&#x24;||divi||400&#8243; global_colors_info=&#8221;{}&#8221;][\/et_pb_button][et_pb_button button_url=&#8221;https:\/\/rwl.io\/3cVfIqC&#8221; url_new_window=&#8221;on&#8221; button_text=&#8221;3. Financial Agreement Form&#8221; admin_label=&#8221;Financial Notice Form&#8221; module_class=&#8221;dct_btn&#8221; _builder_version=&#8221;4.16&#8243; custom_button=&#8221;on&#8221; button_text_size=&#8221;17px&#8221; button_font=&#8221;|||on|||||&#8221; button_icon=&#8221;&#x24;||divi||400&#8243; global_colors_info=&#8221;{}&#8221;][\/et_pb_button][et_pb_button button_url=&#8221;https:\/\/rwl.io\/2LPNVfk&#8221; url_new_window=&#8221;on&#8221; button_text=&#8221;4. Insurance Information Form&#8221; admin_label=&#8221;Privacy Notice Form&#8221; module_class=&#8221;dct_btn&#8221; _builder_version=&#8221;4.16&#8243; custom_button=&#8221;on&#8221; button_text_size=&#8221;17px&#8221; button_font=&#8221;|||on|||||&#8221; button_icon=&#8221;&#x24;||divi||400&#8243; global_colors_info=&#8221;{}&#8221;][\/et_pb_button][et_pb_text _builder_version=&#8221;4.16&#8243; global_colors_info=&#8221;{}&#8221;]<\/p>\n<h3>PRINTABLE FORMS (OFFLINE)<\/h3>\n<p>1.\u00a0 <a href=\"http:\/\/centralparkdentistry.com\/newsite\/wp-content\/uploads\/2020\/06\/2019-personal-information.pdf\">Patient Information Form<\/a><\/p>\n<p>2.\u00a0 <a href=\"http:\/\/centralparkdentistry.com\/newsite\/wp-content\/uploads\/2020\/06\/Medical_History_Form_16_final.pdf\">Health History Form<\/a><\/p>\n<p>3.\u00a0 <a href=\"http:\/\/centralparkdentistry.com\/newsite\/wp-content\/uploads\/2020\/06\/2019-financial-agreement.pdf\">Financial Agreement Form<\/a><\/p>\n<p>4.\u00a0 <a href=\"http:\/\/centralparkdentistry.com\/newsite\/wp-content\/uploads\/2020\/06\/INSURANCE-INFORMATION2020.pdf\">Insurance Information Form<\/a><a href=\"http:\/\/centralparkdentistry.com\/newsite\/wp-content\/uploads\/2020\/06\/covid-consent-final.pdf\"><\/a><\/p>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=&#8221;1&#8243; 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     <\/p>\n<p>        <\/script><\/p>\n<p>        <script src=\"https:\/\/s1.revenuewell.com\/scripts\/js-api.js\" type=\"text\/javascript\"><\/script><\/p>\n<p>        <!--this DIV inserts the reviews widget --><\/p>\n<div id=\"RwReview\" class=\"rw-review\" data-secondid=\"5103e70f-81c2-4578-b2b2-d248187ae88c\"><\/div>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=&#8221;1&#8243; _builder_version=&#8221;4.16&#8243; global_colors_info=&#8221;{}&#8221;][et_pb_row _builder_version=&#8221;4.16&#8243; custom_padding=&#8221;76px|0px|27px|0px|false|false&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_column type=&#8221;4_4&#8243; _builder_version=&#8221;4.16&#8243; custom_padding=&#8221;|||&#8221; global_colors_info=&#8221;{}&#8221; custom_padding__hover=&#8221;|||&#8221;][et_pb_text _builder_version=&#8221;4.16&#8243; text_font=&#8221;||||||||&#8221; header_font=&#8221;||||||||&#8221; header_text_align=&#8221;center&#8221; text_orientation=&#8221;center&#8221; custom_margin=&#8221;|||&#8221; global_colors_info=&#8221;{}&#8221;]<\/p>\n<div class=\"dct-title clearfix\">\n<h3 class=\"hadding\">Our Location<\/h3>\n<p>23 N Federal Ave, Mason City, IA<\/p>\n<\/div>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=&#8221;1&#8243; fullwidth=&#8221;on&#8221; _builder_version=&#8221;4.16&#8243; global_colors_info=&#8221;{}&#8221;][et_pb_fullwidth_code _builder_version=&#8221;4.16&#8243; text_orientation=&#8221;center&#8221; min_height=&#8221;418px&#8221; custom_margin=&#8221;||93px|||&#8221; global_colors_info=&#8221;{}&#8221;]<iframe loading=\"lazy\" src=\"https:\/\/www.google.com\/maps\/embed?pb=!1m18!1m12!1m3!1d2910.7118934574783!2d-93.2028508851383!3d43.15257889267664!2m3!1f0!2f0!3f0!3m2!1i1024!2i768!4f13.1!3m3!1m2!1s0x87f107144d403a55%3A0x22cf6eb73e88cbf1!2s23%20N%20Federal%20Ave%2C%20Mason%20City%2C%20IA%2050401!5e0!3m2!1sen!2sus!4v1590035098261!5m2!1sen!2sus\" width=\"100%\" height=\"400\" frameborder=\"0\" style=\"border:0;\" allowfullscreen=\"\" aria-hidden=\"false\" tabindex=\"0\"><\/iframe><!-- [et_pb_line_break_holder] -->[\/et_pb_fullwidth_code][\/et_pb_section][et_pb_section fb_built=&#8221;1&#8243; module_id=&#8221;dct_cta_v4&#8243; _builder_version=&#8221;3.21.4&#8243; custom_margin=&#8221;-1px|||||&#8221; custom_padding=&#8221;23px||0px|||&#8221; global_module=&#8221;4380126&#8243; global_colors_info=&#8221;{}&#8221;][et_pb_row _builder_version=&#8221;4.16&#8243; global_colors_info=&#8221;{}&#8221;][et_pb_column type=&#8221;4_4&#8243; _builder_version=&#8221;4.16&#8243; global_colors_info=&#8221;{}&#8221;][et_pb_text _builder_version=&#8221;4.16&#8243; text_text_color=&#8221;#edf000&#8243; header_text_color=&#8221;#edf000&#8243; background_layout=&#8221;dark&#8221; text_text_shadow_style=&#8221;preset1&#8243; text_text_shadow_color=&#8221;#000000&#8243; global_colors_info=&#8221;{}&#8221;]<\/p>\n<h2>Want to schedule an appointment with us?\u00a0 Start here!<\/h2>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row _builder_version=&#8221;4.16&#8243; custom_margin=&#8221;-70px|auto||auto||&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_column type=&#8221;4_4&#8243; _builder_version=&#8221;4.16&#8243; global_colors_info=&#8221;{}&#8221;][et_pb_code _builder_version=&#8221;4.16&#8243; global_colors_info=&#8221;{}&#8221;]<center><script type=\"text\/javascript\"><!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] -->        var RW_Config = {<!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] -->            id: '5103e70f-81c2-4578-b2b2-d248187ae88c',<!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] -->            healthgrades: 'false',<!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] -->            host: 'https:\/\/s1.revenuewell.com',<!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] -->            ra_header_color: '#686868',<!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] -->            ra_header_off: 0,<!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] -->            ra_bold_text_color: '#5c5c5c',<!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] -->            ra_text_color: '#5c5c5c',<!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] -->            ra_font_family: 'Arial',<!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] -->            ra_bg: 'transparent'<!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] -->        };<!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] -->       <!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] -->        if(typeof RW_Config_List === 'undefined' || RW_Config_List == null || !Array.isArray(RW_Config_List))<!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] -->        {<!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] -->                        RW_Config_List = new Array();<!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] -->        }<!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] -->        RW_Config_List.push(RW_Config);       <!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] -->        <\/script><!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] -->        <script src=\"https:\/\/s1.revenuewell.com\/scripts\/js-api.js\" type=\"text\/javascript\"><\/script><!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] --> <!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] -->        <!--this DIV inserts the appointment request form --><!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] -->        <\/p>\n<div id=\"RwRequestAppointment\" class=\"rw-request-appointment\" data-secondid=\"5103e70f-81c2-4578-b2b2-d248187ae88c\"><\/div>\n<p><\/center>[\/et_pb_code][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=&#8221;1&#8243; module_id=&#8221;dct_footer_1&#8243; _builder_version=&#8221;3.19.5&#8243; background_color=&#8221;#111111&#8243; background_position=&#8221;bottom_center&#8221; background_blend=&#8221;overlay&#8221; custom_margin=&#8221;-9px|||||&#8221; custom_padding=&#8221;0|0px|20px|0px|false|false&#8221; top_divider_flip=&#8221;vertical&#8221; global_module=&#8221;4380186&#8243; saved_tabs=&#8221;all&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_row column_structure=&#8221;1_4,1_4,1_4,1_4&#8243; _builder_version=&#8221;4.16&#8243; custom_padding=&#8221;27px|0px|16px|0px|false|false&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_column type=&#8221;1_4&#8243; admin_label=&#8221;Social Media Column&#8221; _builder_version=&#8221;4.16&#8243; custom_padding=&#8221;|||&#8221; global_colors_info=&#8221;{}&#8221; custom_padding__hover=&#8221;|||&#8221;][et_pb_text module_class=&#8221;dct-footer-title&#8221; _builder_version=&#8221;4.16&#8243; text_font=&#8221;|700||on|||||&#8221; text_text_color=&#8221;#ffffff&#8221; text_font_size=&#8221;20px&#8221; header_font=&#8221;||||||||&#8221; header_text_color=&#8221;#000000&#8243; global_colors_info=&#8221;{}&#8221;]<\/p>\n<p>Facebook\u00a0<\/p>\n<p>[\/et_pb_text][et_pb_divider divider_weight=&#8221;3px&#8221; module_class=&#8221;dct_divider&#8221; _builder_version=&#8221;4.16&#8243; max_width=&#8221;15%&#8221; module_alignment=&#8221;left&#8221; custom_margin=&#8221;-20px|||&#8221; global_colors_info=&#8221;{}&#8221;][\/et_pb_divider][et_pb_text _builder_version=&#8221;4.16&#8243; text_font=&#8221;||||||||&#8221; text_text_color=&#8221;#808080&#8243; text_font_size=&#8221;13px&#8221; custom_margin=&#8221;-30px||&#8221; global_colors_info=&#8221;{}&#8221;]<\/p>\n<p>Please follow us on Facebook for the latest updates!<\/p>\n<p>[\/et_pb_text][et_pb_social_media_follow _builder_version=&#8221;4.16&#8243; global_colors_info=&#8221;{}&#8221;][et_pb_social_media_follow_network social_network=&#8221;facebook&#8221; url=&#8221;https:\/\/www.facebook.com\/CentralParkDentistry\/&#8221; _builder_version=&#8221;4.16&#8243; background_color=&#8221;#3b5998&#8243; global_colors_info=&#8221;{}&#8221; follow_button=&#8221;off&#8221; url_new_window=&#8221;on&#8221;]facebook[\/et_pb_social_media_follow_network][\/et_pb_social_media_follow][et_pb_text _builder_version=&#8221;4.17.4&#8243; text_text_color=&#8221;#ffffff&#8221; background_layout=&#8221;dark&#8221; global_colors_info=&#8221;{}&#8221;]<\/p>\n<h3><strong>OFFICE HOURS<\/strong><\/h3>\n<ul>\n<li>MON:\u00a0 \u00a08:00 am \u2013 5:00 pm<\/li>\n<li>TUE:\u00a0 \u00a0 8:00 am \u2013 5:00 pm<\/li>\n<li>WED:\u00a0 \u00a08:00 am \u2013 5:00 pm<\/li>\n<li>THU:\u00a0 \u00a08:00 am \u2013 5:00 pm<\/li>\n<li>FRI:\u00a0 \u00a0 8:00 am \u2013 1:00 pm<\/li>\n<\/ul>\n<p>[\/et_pb_text][et_pb_image src=&#8221;https:\/\/centralparkdentistry.com\/site\/wp-content\/uploads\/2021\/07\/delta-dental-logo-300&#215;37.jpg&#8221; alt=&#8221;We accept Delta Dental&#8221; title_text=&#8221;delta dental logo&#8221; _builder_version=&#8221;4.16&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][\/et_pb_image][\/et_pb_column][et_pb_column type=&#8221;1_4&#8243; admin_label=&#8221;Dental Services Column&#8221; _builder_version=&#8221;4.16&#8243; custom_padding=&#8221;|||&#8221; global_colors_info=&#8221;{}&#8221; custom_padding__hover=&#8221;|||&#8221;][et_pb_text module_class=&#8221;dct-footer-title&#8221; _builder_version=&#8221;4.16&#8243; text_font=&#8221;|700||on|||||&#8221; text_text_color=&#8221;#ffffff&#8221; text_font_size=&#8221;20px&#8221; header_font=&#8221;||||||||&#8221; header_text_color=&#8221;#000000&#8243; global_colors_info=&#8221;{}&#8221;]<\/p>\n<p>Dental Services<\/p>\n<p>[\/et_pb_text][et_pb_divider divider_weight=&#8221;3px&#8221; module_class=&#8221;dct_divider&#8221; _builder_version=&#8221;4.16&#8243; max_width=&#8221;15%&#8221; module_alignment=&#8221;left&#8221; custom_margin=&#8221;-20px|||&#8221; global_colors_info=&#8221;{}&#8221;][\/et_pb_divider][et_pb_text _builder_version=&#8221;4.16&#8243; custom_margin=&#8221;-30px||&#8221; global_colors_info=&#8221;{}&#8221;]<\/p>\n<ul class=\"list-border list theme-colored angle-double-right\">\n<li><a href=\"#\">Preventative Care<\/a><\/li>\n<li><a href=\"#\">Invisalign<\/a><\/li>\n<li><a href=\"#\">Dental Surgery<\/a><\/li>\n<li><a href=\"#\">Children\u2019s Dental Care<\/a><\/li>\n<li><a href=\"#\">Implants &amp; Dentures<\/a><\/li>\n<li><a href=\"#\">Full Service Dental Care<\/a><\/li>\n<\/ul>\n<p>[\/et_pb_text][\/et_pb_column][et_pb_column type=&#8221;1_4&#8243; admin_label=&#8221;Patient Forms Column&#8221; _builder_version=&#8221;4.16&#8243; custom_padding=&#8221;|||&#8221; global_colors_info=&#8221;{}&#8221; custom_padding__hover=&#8221;|||&#8221;][et_pb_text module_class=&#8221;dct-footer-title&#8221; _builder_version=&#8221;4.16&#8243; text_font=&#8221;|700||on|||||&#8221; text_text_color=&#8221;#ffffff&#8221; text_font_size=&#8221;20px&#8221; header_font=&#8221;||||||||&#8221; header_text_color=&#8221;#000000&#8243; global_colors_info=&#8221;{}&#8221;]<\/p>\n<p>Patient Forms<\/p>\n<p>[\/et_pb_text][et_pb_divider divider_weight=&#8221;3px&#8221; module_class=&#8221;dct_divider&#8221; _builder_version=&#8221;4.16&#8243; max_width=&#8221;15%&#8221; module_alignment=&#8221;left&#8221; custom_margin=&#8221;-20px|||&#8221; global_colors_info=&#8221;{}&#8221;][\/et_pb_divider][et_pb_text _builder_version=&#8221;4.27.0&#8243; custom_margin=&#8221;-30px||&#8221; global_colors_info=&#8221;{}&#8221;]<\/p>\n<ul class=\"list-border list theme-colored angle-double-right\">\n<li><a href=\"https:\/\/rwl.io\/3edob8R\" target=\"_blank\" rel=\"noopener noreferrer\">Patient Information<\/a><\/li>\n<li><a href=\"https:\/\/rwl.io\/36jZ29t\" target=\"_blank\" rel=\"noopener noreferrer\" title=\"Health History\">Health History<\/a><\/li>\n<li><a href=\"https:\/\/rwl.io\/3cVfIqC\" target=\"_blank\" rel=\"noopener noreferrer\">Financial Agreement<\/a><\/li>\n<li><a href=\"https:\/\/rwl.io\/2LPNVfk\" target=\"_blank\" rel=\"noopener noreferrer\">Insurance Information<\/a><\/li>\n<li><a href=\"https:\/\/forms.patientconnect365.com\/3847\/form\/21123531\" target=\"_blank\" rel=\"noopener noreferrer\">Records Release<\/a><\/li>\n<\/ul>\n<p>[\/et_pb_text][\/et_pb_column][et_pb_column type=&#8221;1_4&#8243; module_class=&#8221;dct_timetable&#8221; admin_label=&#8221;Quick Connect Column&#8221; _builder_version=&#8221;4.16&#8243; custom_padding=&#8221;|||&#8221; global_colors_info=&#8221;{}&#8221; custom_padding__hover=&#8221;|||&#8221;][et_pb_text module_class=&#8221;dct-footer-title&#8221; _builder_version=&#8221;4.16&#8243; text_font=&#8221;|700||on|||||&#8221; text_text_color=&#8221;#ffffff&#8221; text_font_size=&#8221;20px&#8221; header_font=&#8221;||||||||&#8221; header_text_color=&#8221;#000000&#8243; global_colors_info=&#8221;{}&#8221; text_font_size__hover_enabled=&#8221;on&#8221; text_font_size__hover=&#8221;20px&#8221;]<\/p>\n<p>Quick Contact<\/p>\n<p>[\/et_pb_text][et_pb_divider divider_weight=&#8221;3px&#8221; module_class=&#8221;dct_divider&#8221; _builder_version=&#8221;4.16&#8243; max_width=&#8221;15%&#8221; module_alignment=&#8221;left&#8221; custom_margin=&#8221;-20px|||&#8221; global_colors_info=&#8221;{}&#8221;][\/et_pb_divider][et_pb_text _builder_version=&#8221;4.16&#8243; custom_margin=&#8221;-25px||&#8221; global_colors_info=&#8221;{}&#8221;]<\/p>\n<ul class=\"list list-border\">\n<li><span>641-423-4225<\/span><\/li>\n<li><a href=\"http:\/\/centralparkdentistry.com\/newsite\/contact-us-v1\/\">E-Mail Us<\/a><\/li>\n<li>23 N Federal Ave<\/li>\n<li>Mason City, IA<a href=\"#\" class=\"lineheight-20\"><\/a><\/li>\n<\/ul>\n<p>[\/et_pb_text][et_pb_text module_class=&#8221;dct-footer-title&#8221; _builder_version=&#8221;4.16&#8243; text_font=&#8221;|700||on|||||&#8221; text_text_color=&#8221;#ffffff&#8221; text_font_size=&#8221;20px&#8221; header_font=&#8221;||||||||&#8221; header_text_color=&#8221;#000000&#8243; global_colors_info=&#8221;{}&#8221; text_font_size__hover_enabled=&#8221;on&#8221; text_font_size__hover=&#8221;20px&#8221;]<\/p>\n<p>Notices<\/p>\n<p>[\/et_pb_text][et_pb_divider divider_weight=&#8221;3px&#8221; module_class=&#8221;dct_divider&#8221; _builder_version=&#8221;4.16&#8243; max_width=&#8221;15%&#8221; module_alignment=&#8221;left&#8221; custom_margin=&#8221;-20px|||&#8221; global_colors_info=&#8221;{}&#8221;][\/et_pb_divider][et_pb_text _builder_version=&#8221;4.16&#8243; custom_margin=&#8221;-25px||&#8221; global_colors_info=&#8221;{}&#8221;]<\/p>\n<ul class=\"list list-border\">\n<li>\n<a href=\"https:\/\/centralparkdentistry.com\/site\/locations\/non-discrimination-notice\/\">Nondiscrimination<\/a><\/li>\n<li><a href=\"https:\/\/centralparkdentistry.com\/site\/locations\/language-assistance\/\">Language Assistance<\/a><\/li>\n<li><a href=\"https:\/\/centralparkdentistry.com\/site\/new-patients-2\/privacy-practices\/\">Privacy Practices<\/a><\/li>\n<\/ul>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section]<\/p>\n","protected":false},"excerpt":{"rendered":"<p>New Patient Information We welcome new patients and want to make your first visit as simple as possible for you. Your first visit with us will of course be a little different than your subsequent visits.\u00a0 This is of course because we need to gather some important information about you prior to getting started.\u00a0 The main thing to be aware of is that you&#8217;ll need to complete some forms which we&#8217;ve included on this page for you to download and print out and complete prior to your first visit.\u00a0 In the future our office will allow you to do all of this safely and securely online, but for now please print and bring them with you. Don&#8217;t have a printer or way to complete these ahead of your visit?\u00a0 No problem, just arrive early for your first visit and our staff will be happy to provide you with these forms at that time.\u00a0\u00a0 &nbsp; PRINTABLE FORMS (OFFLINE) 1.\u00a0 Patient Information Form 2.\u00a0 Health History Form 3.\u00a0 Financial Agreement Form 4.\u00a0 Insurance Information Form Our Location 23 N Federal Ave, Mason City, IA Want to schedule an appointment with us?\u00a0 Start here!Facebook\u00a0Please follow us on Facebook for the latest updates!OFFICE HOURS [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_et_pb_use_builder":"on","_et_pb_old_content":"","_et_gb_content_width":"","ngg_post_thumbnail":0,"footnotes":""},"class_list":["post-4380828","page","type-page","status-publish","hentry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.4 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>New Patients - Central Park Dentistry of Mason City, Iowa<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/centralparkdentistry.com\/site\/new-patients\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"New Patients - Central Park Dentistry of Mason City, Iowa\" \/>\n<meta property=\"og:description\" content=\"New Patient Information We welcome new patients and want to make your first visit as simple as possible for you. 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