Serving Boca Raton, Delray Beach, Boynton and all of Palm Beach County
Easy access from both I-95 and the Florida Turnpike -
Se habla español
existing / current patients
call
561.
499.
7400
new patient appointments
call
561.499.7400
ABOUT US
Dental implants
Laser gum treatment
Fix receding gums
Cosmetic dentistry - CEREC same-day crowns
Smile makeovers
Deep cleaning
Extractions and grafting
Invisalign® invisible braces
Loose-fitting dentures
Second opinions
Special offers!
Contact us
New patient forms
Save time and complete them before your visit.
Complete the form online without printing, or download in .pdf format and print using Adobe Reader.
Two different choices to complete your new patient forms:
THE EASY WAY:
Click
here
to complete your
new patient form online (preferred!)
- OR -
THE HARD WAY:
Click on the link below to download and print our new patient history form.
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NEW PATIENT FORM (3 pages)
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* You may also right clink on the link, and click ‘save file as’, “save link as’, or “save download link as” depending on your computer system and web browser. You will need Adobe Reader to open this .pdf file. A free reader is available at
https://acrobat.adobe.com/us/en/acrobat/pdf-reader.html
Please call our office if you need further assistance with this.
Please 1) print it, 2) fill it out, and 3) bring it with you on your first visit to our office!