Clairemont Endodontics

Patient Forms


1. Please bring a completed set of New Patient Forms (above) with you to your appointment; we also need the referral slip provided by your dentist

2. Avoid any pain medication 8 hours prior to your visit

3. Please be prepared to pay your appropriate treatment fee, in full, the day of your appointment

4. We require at least 24-hours’ notice if change of appointment is absolutely necessary

5. All patients will need to provide a valid photo ID and an insurance card (if applicable)

If you have any questions regarding your appointment, do not hesitate to call the office. We look forward to meeting you!

Patient Registration

Privacy Practices (printing optional) ​

Post-Op Instructions ​

Take Our Patient Survey

Have Questions? Get in Touch
If you have difficulty using our website, please email us or call us at (858) 270-2760
View the ADA Accessibility Statement
The AAE has recommended limiting non-urgent dental treatment and we intend to do so while remaining available to any patient who seeks emergency care. Please be advised that our hours may change on the basis of demand for our services. We will only be seeing patients who are in need of urgent or emergency care. If you or your patients are in pain and need care immediately, call 302-230-6375 or email We are working to provide our community with safe treatment options.