This form is for traveling patients only. If you are local to the Springfield, MO area, please give us a call at 417-889-4746.
Once we receive current x-rays, Dr. Olson will review your case and a team member will contact you to schedule a virtual consult. A non-refundable deposit of $100 is required to schedule the virtual consult. Should you move forward with treatment at our office, the $100 deposit will be applied to the cost of your treatment.
Unfortunately, Dr. Olson is unable to offer individual second opinions at this time.
In order to proceed with a Virtual Consultation with Dr. Olson, we will need current x-rays. Upon submission of this form, you will receive information on sending your x-rays.
In order to proceed with a Virtual Consultation with Dr. Olson, we will need current x-rays. Since it has been more than two years since your last dental visit, we recommend finding a local dentist to take x-rays. Upon submission of this form, you will receive information on sending your x-rays.
Any buttons or brackets will need to be removed prior to receiving treatment at Innovative Dental.
Please be aware that we are not a Medicare/Medicaid provider.
Many cosmetic and implant procedures are not covered by dental insurance.
Your form is not fully submitted until you see the confirmation message. Depending on the size of your images and connection speed, it could take a few minutes to submit.