If you are a new patient to our office or an established patient, our online forms center can assist you in expediting your service and care.

 

 PLEASE PRINT OUT THE FORMS BELOW

 PRIOR TO YOUR FIRST  VISIT:

You may also print out and bring these forms on your first visit if you choose.

Patient Information.pdf

Smile Evaluation.pdf

Privacy Policy Acknowledgement.pdf

Please read and review the Notice of Privacy Practices document prior to your first visit. (You do not need to print

the Notice out on a hard copy. For your review only.)

Notice of Privacy Practices.pdf

Please call us at 305-530-1866 if you have any questions.

 

If you require records or radiographs transferred to our office, please download this form and send it to your previous dentist or fax it to our office at 305-530-8444.

   request for records.pdf

 

DO NOT USE THE LINKS BELOW. THIS SECTION IS CURRENTLY UNDER CONSTRUCTION.(If you are an established patient with a patient login click here: Patient Login) (If you are a new patient you can complete the forms online here and save time: New Patient Forms)

   

This web site uses files in Adobe Acrobat Portable Document Format  (pdf) which require Adobe® Acrobat® Reader for viewing and printing. It is available to download free.