New Patient Information

Welcome New Patients
Dr. Michael Shannon and his staff would like to take this opportunity to welcome you and your children to this practice. We are honored that you have chosen us to meet all of your dental needs. The mission of Michael Shannon Pediatric Dentistry is to provide the highest quality pediatric dental care to children, adolescents, and those with special needs in a manner that exceeds the expectations of both patient and parent. These services will be provided in a warm and friendly environment using current and advanced treatment technologies. Furthermore, it will be provided in a manner that places the interests of the children and desires of the parents as the highest priorities. We strive to provide the best care while maintaining strict standards of honesty, integrity, and compassion. We strongly believe that prevention of dental disease is better than any cure and we will work to keep you informed of ways to keep your children healthy and cavity free. We look forward to meeting you and your children and thank you for allowing us to serve you.
Pay Online
Online New Patient Forms
Medical History
Medical History: Each Additional
Consent Packet
Family Information Update
Downloadable Forms
Explanation of Benefits
Referral Slip
Insurance Accepted - we are in-network with the following insurances:
- Delta Dental
- Ameritas
- Guardian
- Principal
We accept all other PPO insurances as Out-of-Network providers
We finance through CareCredit, ask us how

What to Expect at your First Visit
We will make you and your children feel welcome from the moment you step through the door. We
will ask you to choose something to watch in your personal room from our big movie selection and
show you around our office. While you wait to be called back we have game consoles, books, and
toys to entertain you.
When it is time for your children’s appointment we will clean their teeth as much as they are
comfortable with, apply a fluoride treatment, and examine their mouth; which we call brushing,
putting on vitamins, and counting their teeth. We will also take any appropriate radiographs, or
pictures, to determine how their bones and teeth are growing. Finally, we will discuss ways to
keep your children’s teeth healthy and strong through oral hygiene and proper diet, while
demonstrating to you and your children how to effectively clean their teeth. We are happy to
address any questions or concerns you or your children may have about their teeth, mouths, or
hygiene. In addition, if further treatment is needed we will discuss those needs and plan for
future visits.
After your children are done with their cleaning they can pick out a sticker, a prize, and a
temporary tattoo to take home. We will then give you the opportunity to schedule your next
cleaning appointment in six months, and any additional appointments that may be recommended by
the doctor.

How You Should Prepare Your Children
First and foremost, don’t over-prepare your children. Let them know that the dentist is a friendly doctor who will help them keep their mouths healthy and free of ‘sugar bugs’. You do not need to bribe your children. If you have a child younger than five years old we highly recommend scheduling them in the morning or at a time that does not interfere with their routine, especially naps or meals. Don’t instruct your children on how they should behave; telling them not to cry or be afraid. Limit other appointments or errands before the dental visit so the day does not feel too busy or rushed. Finally, relax and let us do all the work. It is our job to make sure your children’s visits are fun and as pleasant as possible.
