Gentle Dentistry
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New Patients:
Mobile Number (813) 734-7102
Existing Patients:
Mobile Number (813) 972-3500

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Gentle Dentistry
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  • New Patients
    • Your First Visit
    • Our Comfort Menu
    • New Patient Forms
    • Dental Savings Plan
    • Insurance Friendly
    • No Insurance? We Can Help!
    • Flexible Payment Options
  • Services
    • Cosmetic Dentistry
      • Porcelain Veneers
      • Teeth Whitening
      • Dental Bonding
      • Invisalign
      • Porcelain Crowns
    • Restorative Dentistry
      • Tooth Colored Fillings
      • Dental Implants
      • Dentures
      • Full Mouth Reconstruction
      • Over Dentures
      • Implant Crowns
    • Preventive Dentistry
      • Salivary Testing
      • Oral Cancer Screenings
      • Oral Hygiene
    • Facial Aesthetics
      • Botox
      • Juvéderm
      • Facial Rejuvenation
  • Reputation
  • Patient Center
    • New Patient Forms
    • Our Comfort Menu
    • Dental Savings Plan
    • Insurance Friendly
    • No Insurance? We Can Help!
    • Flexible Payment Options
    • Do We Refer Out and Why?
    • Pay My Bill
  • Smile Gallery
  • Contact Us
Mobile Number (813) 734-7102
Request an Appointment
New Patient Forms
Home » New Patient Forms

New Patient Forms

  • Please download the form by clicking the link below
  • Print the form
  • After completing the form, please bring it to your first appointment!
New patient registration form
Notice of Patient Privacy Practices

Healthy smiles for healthier lives by gentle dentistry

CTA - PhoneMobile Number (813) 734-7102
CTA - Map 3500 E. Fletcher Avenue – Suite #221
Tampa, FL 33613
CTA - Fax (813) 977-0503
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Office Hours

Monday :
7.00 am – 4.00 pm
Tuesday :
7.00 am – 4.00 pm
Wednesday :
7.00 am – 4.00 pm
Thursday :
7.00 am – 4.00 pm
Friday :
– CLOSED
Saturday :
– CLOSED
Sunday :
– CLOSED
  • Home
  • Call
  • Appointment
  • Treatments
  • Find us
  • Home
  • About Us
    • Meet Your Doctors
    • Meet Our Team
    • Web Stories
    • Blog
    • What We Excel At
  • New Patients
    • Your First Visit
    • Our Comfort Menu
    • New Patient Forms
    • Join Gentle Dentistry’s In-House Dental Savings Plan
    • Insurance Friendly
    • No Insurance? We Can Help!
    • Flexible Payment Options
  • Services
    • Cosmetic Dentistry
      • Porcelain Veneers
      • Teeth Whitening
      • Dental Bonding
      • Invisalign
      • Porcelain Crowns
    • Restorative Dentistry
      • Tooth Colored Fillings
      • Dental Implants
      • Dentures
      • Full Mouth Reconstruction
      • Over Dentures
      • Implant Crowns
    • Preventive Dentistry
      • Salivary Testing
      • Oral Cancer Screenings
      • Oral Hygiene
    • Facial Aesthetics
      • Botox
      • Juvéderm
      • Facial Rejuvenation
  • Reputation
  • Patient Center
    • Your First Visit
    • Our Comfort Menu
    • New Patient Registration
    • Dental Savings Plan
    • Insurance Friendly
    • No Insurance? We Can Help!
    • Flexible Payment Options
    • Do We Refer Out And Why?
  • Smile Gallery
  • Contact Us
  • Request an Appointment
  • Privacy Policy
  • Cookie Policy
  • Accessibility Statement
  • Cosmetic Dentistry
    • Porcelain Veneers
    • Teeth Whitening
    • Dental Bonding
    • Invisalign
    • Porcelain Crowns
  • Restorative Dentistry
    • Tooth Colored Fillings
    • Dental Implants
    • Dentures
    • Full Mouth Reconstruction
    • Over Dentures
    • Implant Crowns
  • Preventive Dentistry
    • Salivary Testing
    • Oral Cancer Screenings
    • Oral Hygiene
  • Facial Aesthetics
    • Botox
    • Juvéderm
    • Facial Rejuvenation
  • Specialties
    • Endodontics (Root Canal Specialty)
    • Periodontics (Gum & Bone Specialty)
  • New Patients:
  • Existing Patients: