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Patient Forms

We want to welcome you to the Silver State Dental family!

We are glad that you are interested in becoming a patient of Dr. Mon-Han Young’s Las Vegas, NV dental practice. New patients are always welcome here. Everyone at Silver State Dental is committed to making your visits pleasant and stress-free. You can count on our friendly, highly experienced staff to always provide the highest standard of dental care in a clean, state-of-the art environment. Your comfort is our top priority.

We look forward to seeing you soon!

Dr. Mon-Han Young and the Silver State Dental team

 

Destruction of Health Care Records
Notice to Patients Regarding Destruction of Health Care Records

(a) Pursuant to the provisions of subsection 7 of NRS 629.051:
(1) The health care records of a person who is less than 23 years of age may not be destroyed; and
(2) The health care records of a person who has attained the age of 23 years may be destroyed for those records which have been retained for at least 5 years or for any longer period provided by federal law; and
(b) Except as otherwise provided in subsection 7 of NRS 629.051 and unless a longer period is provided by federal law, the health care records of a patient who is 23 years of age or older may be destroyed after 5 years pursuant to subsection 1 of NRS 629.051.

Click below to download New Patient Registration Materials

Financial Health Policy.pdf
Health History.pdf
Intake Sheet.pdf