Patient Information

Downloadable Patient Forms

 

Please find the forms #3-6 listed below for you to print, complete, and bring to your first visit to Panther Hollow Dental Lodge.

Hope to see you soon!

 

  1. Patient Welcome Letter
  2. HIPPA/Privacy Practices
  3. Patient Information - Complete and Sign
  4. Medical Information - Complete and Sign
  5. Notice of Privacy Practices - Signature Required
  6. Financial Agreement - Signature Required

   

Welcome


News & Events

Teeth Whitening

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Try our limited time discounted fee for teeth whitening! Our fee has been reduced from $400 to $195 for custom trays and a bleaching kit for established patients. Call our office today to make an appointment. (941) 743-7435

Best of Charlotte 2009-2012

 Bender

For the forth year in a row Dr. Joe Bender was recognized in the Charlotte Sun Newspaper's "Best of the Best" in Charlotte County readers' poll.

Follow the link below to see more information and photos of this event.

Best of Charlotte Banquet

Dr. Bender's Biography

Periodontal Disease

As seen in "Feeling Fit" magazine, an article by one of our hygienists, Barbara Nelson, discusses periodontal disease's symptoms, treatment, and the effects it has to our overall general health. Follow the link below to read the full article.

Periodontal Disease