Periodontist - Cedar Rapids
 1909 51st St NE
 Cedar Rapids, IA 52402

New Patients

Your first visit to our office establishes a vital foundation for our relationship with you. During the first visit, we make sure to obtain important background information, like your medical history, and give you time to get to know the doctor.

You can even save time at your first visit by printing out and completing the patient forms below in advance of your appointment.

Mission Statement
Our practice is working together to realize a shared vision of uncompromising excellence in dentistry.

To fulfill this mission, we are committed to:

  • Listening to those we are privileged to serve.
  • Earn the trust and respect of patients, profession and community.
  • Exceed your expectations.
  • Ensure a creative, challenging and compassionate professional environment.
  • Strive for continuous improvement at all levels.

Patient Forms
Please print and fill out these forms so we can expedite your first visit:

Coming Soon


In order to view or print these forms you will need Adobe Acrobat Reader installed. Click here to download it.

What To Expect
Being well-prepared for your appointment will ensure that the doctor has all of the needed information to provide the best possible care for you. It also will help relieve any unnecessary anxiety you may be feeling. Educate yourself on your symptoms by reviewing the content on this Web site. Also, take some time to review our staff page and familiarize yourself with the doctors. We look forward to your first visit.

Things to bring to your appointment
In an effort to provide efficient service, we ask that you please complete your health history form and return it to our office by mail, email or fax before your scheduled appointment.

Please bring your card and insurance information with you to each visit so that we can make sure our records stay current.

If your referring dentist has provided you with x-rays and referral forms, please bring those to your appointment.

A request to your insurance company to pre-authorize dental treatment will be done before treatment is started. The pre-authorization will give an overview of the projected costs allowed by your particular insurance plan. Any treatment not pre-authorized by your insurance company will necessitate payment in full for treatment by the patient. Payment for unauthorized treatment must be paid when treatment is started. Any unpaid balance is due when treatment is completed.The estimated portion not covered by your insurance is due at the time the treatment is performed. Please be aware that we are only capable of estimating your portion and we will collect this at the time services are rendered. Once the insurance company has paid their portion of the charges, if there is a balance remaining, we will send you a statement.

Initial Consultation
Your consultation will include a review of your medical and dental history, review of referring Doctors findings, visual examination, charting, periodontal probing, diagnosis, and treatment recommendations.

Treatment Planning
includes a schedule of procedures and appointments designed to restore, step by step, your oral health. The plan contains the advantages, disadvantages, costs, alternatives, and sequence of treatment. We will present the recommended treatment to you, as well as to the insurance company, for approval.

Driving Directions
Across the street from Theisen's

Periodontist - Cedar Rapids, Deena Reeves Kuempel, DDS, 1909 51st St NE, Cedar Rapids, IA 52402 (319) 294-4800