New Patient Paperwork

New Patients who wish to fill out their paperwork in advance may use the links below to fill out the forms online.

All online forms should be completed 48 hours proir to your first appointment. 

Patient Information Patient Medical History Health Information Disclosure Authorization Payment Information COVID-19 Pandemic Emergency Dental Treatment Notice and Acknowledgement of Risk COVID-19 Pandemic – Patient Disclosures Non-Participating Medicare/Medicaid Consent Form

HIPAA Compliant Badge

Our online forms are HIPAA Compliant to protect your personal healthcare information.

We are currently experiencing phone issues. If you have trouble reaching us, please email us or leave a message on our email which is: ddstampa2ddstampa.com. We are doing everything we can to rectify the issue as soon as possible. We apologize for any inconvenience. We are attempting to return your calls from a secured line.Email Us
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