If you are a new patient, intending to visit Flatlands Dental Care for the first time, please fill out and print this form before your scheduled appointment time.
This will allow us to shorten your wait time and to provide faster service.
Note: This form is for new patients only. If you do not wish to pre-fill this form, you will be required to do so upon arrival to the office.
In order to download, print or save forms, in PDF format Adobe Acrobat is required.