Patient Forms

New Patient Information:

Your first visit:

We will make every attempt to stay on time for your scheduled appointment.

Because your overall dental health is important to us, we will begin with a thorough medical history and a review of any past dental history. We will perform a comprehensive head and neck exam that includes hygiene assessment and cleaning. Also, we will do an oral cancer screening, orthodontic evaluation, gum disease assessment and temporomandibular joint evaluation.

New Patient Forms:

For your convenience, please review, download and print. After completion of the forms, either fax, mail or bring them with you for your first visit.

You will need Adobe Reader to download and print the forms.

Payment is due upon completion of services.

We accept cash, check, Visa, Mastercard, Discover, and Care Credit.

MFD Dental Care Plan
If you do not have insurance, please ask about our in house care plan. A reasonable savings for your dental care.