Please click on the link below to print the New Patient Forms, fill them out completely and bring to your initial visit. You may also fax them to 352-259-6766 if you would like us to have them prior to your visit. Please let us know if you have any questions prior to your visit; we are all happy to help!
Please save and email the filled out forms to firstname.lastname@example.org
What Will Happen On My First Visit?
Please assist us at the time of your initial visit to the office by providing the following information:
- Your referral slip and x-rays from your referring dentist.
- A list of medications you are currently taking (please note that you can fill out your patient registration and medical history form on our website.)
- If you have dental benefits, please bring any forms or cards with you to the appointment.
Please Note: All patients under 18 must be accompanied by a parent or guardian at the consultation appointment.
Please notify the office if you have a medical condition or concern prior to surgery (e.g. artificial heart valves or joints, heart murmurs requiring pre-medication, severe diabetes, or hypertension).
We will complete an in-depth medical and dental health history and a thorough examination to measure for bone loss, loose teeth, bite, oral cancer screening, TMJ, and other signs of periodontal disease.