Patient Screening Form
Do you/they have fever or have you/they felt hot or feverish recently (14-21 days)?
Are you/they having shortness of breath or other difficulties breathing?
Any other flu-like symptoms, such as gastrointestinal upset, headache or fatigue?
Do you/they have a cough?
Do you/they have heart disease, lung disease, kidney disease, diabetes or any auto-immune disorders?
Are you/they in contact with any confirmed COVID-19 positive patients? Patients who are well but who have a sick family member at home with COVID-19 should consider postponing elective treatment.
Is your/their age over 60?
Have you/they experienced recent loss of taste or smell?
Have you/they traveled in the past 14 days to any regions affected by COVID-19? (as relevant to your location)
I understand the risk of keeping my appointment and having treatment completed with the COVID-19 spreading. I understand all of this and still accept the risk and want to continue my treatment today.

Your Signature

ABOUT US

A Beautiful Practice For All Your Dental Needs

Our Mission

Our goal is to build a long-term relationship between our staff and patients, provide high quality and consumer-friendly dental services for the entire family.

location: 

We are located in Lexington Kentucky.

3122 Custer Dr. Lexington Kentucky 40517

Earning Your Trust
We are an accredited Lexington Kentucky dentist business with the Better Business Bureau and have achieved and maintained an A+ rating with this organization.

 
Facility
We are proud to provide a state-of-the-art facility for the highest quality dental care available. It is one of our top priorities to protect the well-being of our valued patients. For this reason, our office meets and surpasses all OSHA (Occupational Safety and Health Administration) and CDC (Center for Disease Control) standards. We are confident that you will feel right at home in our office as we welcome all patients as if they were family.

 

OUR TEAM

Dr. Jinyoung Kim

Mary
Manager
Joanna
Receptionist
Annie
Hygienist
Rhonda
Hygienist
Dr. Glenn Sutherland

Hannah
Assistant

OUR SERVICES

 
 

SMILE GALLERY

Bonding

Before

After

Bridge

Before

After

Bonding

Before

After

Implants

Before

After

Crowns

Before

After

Veneers

Before

After

CONTACT US

Our Address

3122 Custer Dr.

Lexington KY 40517

ParkHillsFamilyDent@gmail.com

 Tel: (859)273-5020 

FAX:(859)245-2219

Opening Hours

Monday        10AM – 6PM

Tuesday          9AM – 5PM

Wednesday            CLOSED

Thursday        9AM – 5PM

Friday             9AM – 5PM

 

Virtual Consultation

Due to COVID-19, the Kentucky Board of Dentistry recommends emergency procedures only. We would like to continue helping our patients via virtual consultations, minimizing the possibility of exposure. Please submit your info below to the secure office email and Dr. Kim will schedule you for Virtual Consultation through a video phone call ASAP.

***There is no confirmation screen after you submit. If the subject lines are blank, then the submission was successful! This transfer of information is not 100% HIPPA compliant

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**Please use the flashlight on your camera when taking a picture inside your mouth. Take a close up picture of the problem tooth/area. If swelling is present, include a picture of your entire face as well.

-Consent-

I give my consent to receive dental diagnosis, education, and other dental-related services.  I understand that without X-ray, the diagnosis can be difficulty and limited for the dentist to provided to patients. I will receive instructions about the benefits and risks of the necessary procedures, and I will have the opportunity to discuss and approve the recommended treatment. I acknowledge that I have not received guarantees, warranties, or representations concerning the results of the treatment or procedures. I accept the responsibility to follow oral hygiene and post-op instructions, come to all the appointments on the proper day and time, provide accurate and updated health information, and alert this office of anything that may adversely affect the treatment. I have the right to withdraw this consent at any time. I will still be responsible for the unpaid balance and for any complication arising from the treatment interruption. I understand that video chat might have a risk of personal exposure information to others.

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