accessibility ACCESSIBILITY

New Patient Forms

Easily Access Our New Patient Forms

At Avalon Dental we would like to make your first visit experience as efficient and effective as possible. As a result, we have included below a few pdf files of our new patient forms. If you would like to save time on your first visit, we encourage you to click on the link below, print out the forms, fill them out, and bring them in with you. Feel free to contact us with any questions you may have!   

Patient Forms (please print and complete the four forms below):

1) Medical History Form

2) Patient Registration

3) HIPAA Privacy Policy (only page 5 needs to be printed)

4) Financial Policies

 

Contact Us.We encourage you to contact us with any questions or comments you may have. Please call our office or use the quick contact form.

Contact Us

We encourage you to contact us with any questions or comments you may have. Please call our office at 239-454-1150 or use the quick contact form below.
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