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

Patient Questionnaire Medical Reimbursement

HIPPA Form

Preferred Method of Contact

class=”centerText”>Sleep Apnea Questions

New Patient Online Offer
Free Initial Consultation


Contact us now for details!

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


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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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