New Patient Form

Submit Your New Patient Form

If this is your first time at Dedicated Dental Care, please feel free to fill out your patient form ahead of time before your first appointment.

Step 1: Download form

NOTE: Be sure to download form first instead of filling out directly online as it WILL NOT save the data

Step 2: Fill out form and save on your computer

Step 3: Upload form

BOOK YOUR NEXT APPOINTMENT ONLINE

Request an appointment online when it's convenient for you!