Fort Myers Dentistry - Dr. Bradley Dilling, DMD - Avalon Dental

If you are a new patient to our office, the attached files contains our new patient bundle with forms that will need to be filled out when you arrive at our office.  Printing them, filling them out and bringing them with you will allow us to attend to your medical 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 (please print and complete the four forms below):

1) Patient Registration 2010.pdf

2) Medical History Form.pdf

3) HIPAA 2010 Notice.pdf (only page 5 needs to be printed)

4) Financial Policies.pdf