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New Patient Forms

Q1. Do you accept my insurance plan?
Q2. What different payment options do you provide?
Q3. I am not currently a patient of yours, but i would like to make an appointment.
Q4. What do i do if i have an emergency when the office is closed?
Q5. How do i know when it’s time to come in for a check up?
Q6. My gums bleed after i brush. Is this something to be concerned about?
Q7. Do i really have to floss every day?
Q8. I don’t like the ugly black fillings in my mouth. What can i do to make those look better?
Q9. Can white fillings be used to replace silver fillings?
Q10. Can cracked, worn, discolored or broken teeth be fixed with cosmetic dentistry?
Q11. Can i fix my discolored, dark or stained teeth with tooth whitening dentistry?
Q12. Will cosmetic dental bonding comfortably repair my broken teeth?
Q13. What are porcelain veneers?
Q14. What are dental crowns?
Q15. How can i have whiter teeth?

To arrange a consultation, we recommend that you download and complete these forms at your convenience before your visit with us. Once complete, please fax to 1-954-639-7835. This will speed up the process and ensure a speedy visit. Thank you.

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