Patient Forms
What To Expect
We have a caring, talented team of dental professionals who are here to serve you. A friendly smile and knowledgeable staff will welcome you when you arrive. You may either print off the New Patient forms below or arrive a little early for your first appointment to fill out the forms in our office. We look forward to your visit!
Village Dental Notice of Privacy Practices
New Patient Forms
Please print and fill out these forms before your first visit:
- Patient Information
- Acknowledgement of Receipt of Privacy Practices
- Records Request from prior Dentist - Optional
In order to view or print these forms you will need Adobe Acrobat Reader installed. Click here to download it.
Need an appointment?
Call us today! 334-821-5291