logo
Advanced Dentistry, Anthony J Sidor, DDS, Merritt Island, FL 32952
 
Look what arrived....Digital Radiography, this means less radiation and a faster clinical diagnosis.
 
New Patient Forms

FormThe New Patient Forms are in Adobe Acrobat (PDF) format. If you do not have Acrobat Reader, get a free copy by clicking on the link below.

Adobe Reader

Please print the Health History and Payment Policy Form, fill it out, and bring it with you for your appointment. Also, after reading the Notice of Privacy Practices, print the Acknowledgement form below, sign it, and bring it in, too.

Adobe PDFWelcome (Acrobat PDF form)

Adobe PDFMedical History (Acrobat PDF form)

Adobe PDFPayment Agreement (Acrobat PDF form)

Adobe PDFAcknowledgement of Receipt of Notice of Privacy Practices (Acrobat PDF form)