We are open for emergencies during the Covid-19 Pandemic

New Patient Forms - Prestige Dentistry | Prestige Dentistry

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 Family Members Form

Preferred Method of Contact

Apply for Carecredit

New Patient Online Offer
Ortho special $1,000 off treatment

Valid until August 29th
Contact us now for details!

Questions? Looking to Schedule? Contact Us With the Form Below!

Your Name*

Your Email*

Your Phone Number

Which office would you like to contact?*

How can we help you?*

Your information is safe.
Our Locations
Prestige Dentistry - Palm Harbor
4140 Woodlands Pkwy Ste A
Palm Harbor, FL 34685
Call: 727-877-1507
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Prestige Dentistry - Trinity FL
1641 Davenport Dr
Trinity, FL 34655
Call: 727-263-2604
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For our Palm Harbor Location:

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