← DEEPLATHE|Sample: Bayside Family DentalNew Patient Intake Portal

Welcome back, Jamie

Tuesday, April 8, 2026

In 3 days

Next Visit

April 11, 2026

Cleaning — Dr. Chen

Paid

Balance

$0.00

All caught up

1 left

Forms

4 of 5

Active

Insurance

Blue Cross PPO

Coverage verified

Appointment Timeline

Apr 11 · 10:00 AMupcoming

Regular Cleaning

Dr. Sarah Chen

Mar 22 · 2:30 PMcompleted

Routine Cleaning

Lisa Tran, RDH

Mar 08 · 9:00 AMcompleted

New Patient Exam

Dr. Sarah Chen

Mar 08 · 9:30 AMcompleted

Full X-Rays

Digital Imaging

Recent Activity

Insurance verified

Blue Cross PPO confirmed

2h ago

Medical history submitted

Form 3 of 5 completed

1d ago

Payment received

$45.00 copay processed

3d ago

Account created

Welcome to Bayside Dental

5d ago