Dr. Colin Richman Roswell, GA | (770) 442-1010 | Forms
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Forms

We are pleased to offer our New Patient forms online. Simply click on the link below to download the form, print it out, and bring it completed to your first appointment.

New Patient Registration Form (.docx)

New Patient Registration Form (.pdf)

Pre- and Post-Treatment Guidelines for Adults

Pre- and Post-Treatment Guidelines for Children

Referral slip

Contact us/Schedule an appointment

  • Please click here to fill out our online appointment request form.

Signs and Symptoms of Advanced Dental Disease Including Periodontal (Gum) Disease


Chronic disease anywhere in the body is insidious, thus advanced symptoms may only appear late after significant damage has occurred. Warning signs of advanced dental disease include:

- Redness, tenderness, pain, swollen gums
- Bleeding while brushing, flossing or biting into an apple
- Insufficient long term flossing over a lifetime
- Receding gums, frequently described ‘getting long in the tooth’
- Teeth moving or shifting
- Loose teeth
- Appliances no longer fit comfortably
- Previous history of tooth loss including parents
- History of smoking, diabetes or other metabolic diseases

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