New Patient Forms

The hygienists and dentists at Prestige Dentistry in Palm Harbor and Trinity, Florida, welcome you as a new patient. In order to serve you best, please fill out the forms linked below and bring them to your first appointment. We look forward to meeting you!

Medical History Form

Notice of Privacy Practices

Office Policy

Patient Info Survey

Patient Dental Survey

HIPPA Form

HIPPA Family Members Form

Preferred Method of Contact

Insurance Notice