New Patient Information

We are always welcoming new patients and we would love to have you as part of our dental family.

Below please find our new patient forms available for your convenience. We recommend printing and completing these forms before your appointment. If you have any questions about these forms, please don’t hesitate to call our office.

We accept American Express, Discover, MasterCard, and Visa, as well as cash and check. If you’re interested in a financing option please contact us.
After clicking the links below and completing
each form, hit "Ctrl" + "P" to print each page.


New Patient Registration Form

Office Policies

Medical History Form

Privacy Policy

Proudly serving: Juno Beach, Lake Park, North Palm Beach, Palm Beach Gardens, Jupiter, Tequesta
and surrounding areas in South FL.

When to see the dentist

  • Pain in teeth or gums
  • Red, tender or swollen gums
  • Gums that bleed when you brush or floss
  • Gums that begin pulling away from your teeth
  • Loose permanent teeth
  • Unusual sensitivity to hot and cold
  • Persistent bad breath or an unusual taste in mouth
  • Changes in the way your top and bottom teeth align with each other

Hygiene Habits to Develop

  • Brush your teeth twice a day
  • Replace toothbrush every 3-4 months
  • Floss your teeth once a day
  • Get regular dental check-ups
  • Eat a balanced, low-sugar diet