Patient Forms for Melbourne Dentist appt at Harbour City Dental, Family Dentist in Melbourne

Patient Forms

The attached files contain our new patient forms that will need to be filled out when you arrive at our office. Printing them, filling them out, emailing them, or bringing them with you will allow us to attend to your dental needs more quickly than completing them on your arrival. Thank you and please call our office if you have any questions at all.

Patient Forms (Print & Complete All Forms Prior To First Office Visit)

Medical History

Business Policy

Patient Registration

HIPAA Policy

Important Information about your Estimate

This web site uses files in Adobe Acrobat Portable Document Format (pdf) which require Adobe® Acrobat® Reader for viewing and printing. It is available to download free.

Testimonials

Staff did great with my two year old! The tech was very patient with her
and took the time to show her the different tools they would be using. My
daughter loved getting a new toothbrush and picking a toy from the treasure
chest at the end. I'm very pleased with our experience and would
highly recommend for patients of all ages.
(5 stars)

by Great for T(January 12, 2018)

I am very pleased with the attention that I receive and the
professionalism which everyone in the office displays every time.
(5 stars)

Jeff (November 14, 2017

Office Location

Melbourne
17 Nelson Avenue

Melbourne, Florida

32935

Map & Directions

Call: (321) 259-2161