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New Patients

Patient Forms, Map and Directions to Canton Office

Your first visit to Russell Family Dentistry establishes a vital foundation for our relationship with you. During the first visit, we make sure to obtain important background information, like your medical history, and give you time to get to know your doctor. To understand what to expect for your first visit to our practice, please read through this page. You'll find all the practical information you need, such as a map and directions to our office, practice hours, payment policies and more. There's also background information about our committed staff and our first visit procedures. You can even save some time at your first visit by printing out and completing the patient forms in advance of your appointment.

Mission Statement

Our practice is working together to realize a shared vision of uncompromising excellence in dentistry.

To fulfill this mission, we are committed to:

  • Listening to those we are privileged to serve.
  • Earn the trust and respect of patients, profession and community.
  • Exceed your expectations.
  • Ensure a creative, challenging and compassionate professional environment.
  • Strive for continuous improvement at all levels.


Current Patient Forms

Below you can update your patient/family information and see your upcoming appointments:

New Patient Forms

New patients, our forms are now available online so you can complete them at your leisure. Save time and carefully review our policies and procedures before you come in.

Click on the link below to fill out and submit your form directly to the doctor. No downloading, printing, or writing.

New Patient Forms Sign In

Notice of Privacy Practices

Please click the link below to view our Privacy Policy for the practice.

Notice of Privacy Practices

Records Release Request to Third Party

Please click the link below to view our Records Release Request to Third Party form.

Records Release Request to Third Party


What To Expect

Being well-prepared for your appointment will ensure that the doctor has all of the needed information to provide the best possible care for you. It also will help relieve any unnecessary anxiety you may be feeling. Educate yourself on your symptoms by reviewing the content on this Web site. Also, take some time to review our staff page and familiarize yourself with the doctors. We look forward to your first visit.

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Our Location

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Hours of Operation

Our Regular Schedule

Primary Location

Monday:

9:00 am-5:00 pm

Lunch from 1:00 pm - 2:00 pm

Tuesday:

7:30 am-4:00 pm

Lunch from 12:00 pm - 1:00 pm

Wednesday:

7:30 am-4:00 pm

Lunch from 12:00 pm - 1:00 pm

Thursday:

7:30 am-4:00 pm

Lunch from 12:00 pm - 1:00 pm

Friday:

Closed

Saturday:

Closed

Sunday:

Closed