Forms

Schedule An Appointment

Please let us know your preferred availability and we will be in touch to confirm very soon.

We look forward to seeing you!

Request an Appointment

 

Dentists: Refer a Patient to Us

Fill out this form to be submitted online to refer a patient to one of our specialists. All submissions are confidential and directly sent to our patient coordinators.

Thank you for the referral!

Referral Form for Other Practices

This form is for other doctors to complete electronically to refer a patient to a specialist at Worthington Dental Group.
  • Please list the name of the patient whom you are referring to Worthington Dental Group.
  • Please list your name and/or the name of the practice at which you are employed.
  • Please list the phone number at which it is best to reach you, beginning with area code.
  • Please briefly describe the nature of the patient's presenting concerns.

 

New Patients

We currently offer printable versions of paperwork needed at your first appointment. Complete it at your convenience and bring it with you:

Patient Testimonials

“I have been having dental issues since August 2012 and Worthington Dental Group are the only ones who figured out what the issue truly was and now I will be pain free! Thank you to the entire staff there, I have already recommended you.”

— Eve

“Pleasant new surroundings. Staff is always welcoming and friendly. Love access to the mall for rewarding myself for visiting the dentist!”

— Susan

“Always a positive and painless experience!”

“Just wanted to thank you for (on very short notice) working in my mother-in-law today; we so appreciated Toni and Dr. Cunnningham’s quick repair of her broken bridge. It is this kindness, professionalism and expertise that mean so much to your patients. We will continue to recommend your office to anyone in need of dental care.”

“Everyone is so pleasant and helpful. There is no way my experience could be any better!! Especially the office staff.”

“Dr. Cunningham is a fantastic dentist. Over time he has re-done all of my old crowns and added new ones giving me a beautiful smile. He works with an in- house lab so everything is prompt and perfect. Most of his staff has been there the entire 12 years I have been a patient so they are very accomplished and and it speaks well of him as an employer.”

Ask a Question

Ask A Question