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(719) 634-8458

Forms

For your convenience, you may print the following forms and complete them prior to your appointment.  The General Information, Medical History, and Notice of Privacy Policy forms are required for every new patient and we will periodically ask you to review and update this information.  It is important that we have current information in order to provide you with the best dental care possible.

Downloadable PDF forms:

General Information

Medical History

Notice of Privacy Policy – Patient Acknowledgement

Statement of Privacy Practices *

*The Privacy Practices document does not need to be printed unless you would like a copy for your files.   Please review prior to your appointment, however, as we will have you electronically sign an acknowledgement that the Policy has been provided.

Testimonials

Mark T. Albers, D.D.S.
Mark Albers, D.D.S. has been our family’s dentist for over 20 years.  He has performed numerous procedures for us.  From doctor exams during routine cleanings to crowns, he has such a gentle touch!  Dr. Albers and his staff are friendly, professional, and considerate.  I appreciate that they value their patients’ time as I seldom wait to be called back to the chair.  I also appreciate the fact that Dr. Albers regularly attends professional seminars and seeks continuing education on the latest techniques and innovations.  His expertise is apparent.  We would never consider going anywhere else.

Contact Us

Mark T. Albers, D.D.S.
2155 Hollowbrook Drive
Suite 20
Colorado Springs, CO
80918

(719) 634-8458