New Patient Forms

We look forward to meeting you and assisting you with all of your dental needs!

For your first appointment, please try to arrive 10-15 minutes early to get a head start on your initial paperwork. We have provided a New Patient Form and Medical History Report Form for you to download if you would like to fill it out ahead of your appointment to save time. You can either bring these forms with you, or email them to us at [email protected] or fax them to us at (239) 649-6702.

Please have on hand the details of any medications that you are currently taking and any major illnesses or operations that you have had in the past as well as a picture ID and your insurance card, if you plan on claiming your visit.

During your first appointment, we will do a clinical examination (a “physical”) of your teeth, gums and the mouth and take necessary X-rays of your teeth in order to assist us in the evaluation of your dental health needs. We will also clean your teeth, and present you with a treatment plan of any dental work that we believe is needed. If this is an emergency, procedures may be performed.

Please feel free to contact us at any time if you have any questions. We look forward to treating you!

Please call us at 239-262-4595 to schedule your appointment!