50th and France Dental Care
A Great Dentist

New Patient Forms and Patient Account Login

Existing patients:

Log in to our patient portal to:

  • View upcoming appointments
  • Make payments
  • Change your communication preferences (email vs text, etc)
  • Much more!

New Patients:

  • Save time by filling out necessary forms prior to your appointment (see attachments below)
  • Feel free to give us a call if you have any questions 

Medical and Dental History

New Patient Form

Notice of Privacy Policy

Acknowledgement of Privacy Practice

Authorization of Release of Information

Have Questions? Get in Touch