New Patient Forms

New Patient Formsmedia2021-10-07T16:00:56+00:00

New Patient Forms

If possible, please print and fill out these forms and bring them with you to your appointment.

new patient forms

missed appointment form

covid questionnaire

BOOK AN APPOINTMENT NOW

Book An Appointment NOW

No Insurance? No Problem

New Patient Exam and Consultation $99 – Rolled into cost of treatment completed. Includes X rays and consultation with Dr. Gelbart to go over your unique treatment plan

Just looking for a checkup and cleaning?

New Patient Exam, X Rays and Regular Cleaning $198

Book An Appointment NOW