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New Patient Forms

The first visit to our office is designed to get you better acquainted with all we offer as well as introduce you to Dr. Wilson and our caring staff. We encourage questions and do our best to always deliver quality care.

Please take a moment prior to your scheduled appointment to complete our New Patient Packet.   We ask that you complete the forms prior to your appointment so we may better assist you in a timely manner. If you should have any questions regarding the new patient packet, please feel free to contact one of our practice administrators for assistance.  Thank you for your confidence in our office, we look forward to assisting you with all your dental needs.

New patients, please select one of the two options for providing the requested information:

  1. Select the New Patient Packet in which most forms can be filled out on your computer or printed and filled out by pen.  The forms may be digitally signed or manually signed after you print them.  Complete the forms by providing the requested information, print them, and bring them into our office for your appointment (please DO NOT EMAIL these forms back to our office as they contain confidential medical and personal information and are not protected)
  2. If you would prefer to email the forms to our office prior to your appointment, please contact one of our practice administrators by phone at (813) 251-0770.  They will provide you with a secure password and email a password protected New Patient Packet to you so that you can fill out the requested information on your computer and email it to our office.

 

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.

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