To Be Prepared for Your Atlanta Dental Office Visit

Click here to complete our Health History Form


A couple of things to note:
1. You do not need to sign the bottom of the file using an electronic signature. You will be asked to sign the form when you visit the office for your appointment.
2. MAC USERS: If your computer does not have Adobe Reader downloaded, you will need to download it before proceeding. It is a free download and can be found here.
3. When you open the forms, on the lower right, click the disk icon and save the forms to your desktop. 
After you are finished filling out the forms and click the submit button, another window will open to ask what type of email client you use. If you do not have to use a browser to access your email, choose the first option. If you do have to use a browser, select the second option. You will then be prompted to save your file and attach it to an email you send to

Cancellation & No Show Policy:


    Our dental office is committed to offering you the best possible individualized treatment and care. In order to do this we go to great lengths to ensure adequate time in our schedule to care for you during your visit and try to accommodate your schedule as well as our other patients.


    When you are late, do not show up or do not give us adequate notice (at least 24 hours) of cancellation, this makes it difficult to accommodate our other patients either by making us run late or keeping your reserved scheduled time unavailable for another patient who would appreciate having that appointment time. 


    Therefore, cancellations and no-shows not made within 24 hours will be charged a $40 cancellation fee. We will continue to provide the same high standard of care and ask that you commit to your scheduled appointment.


Please Click Here, to view, print, and sign the Cancellation Policy prior to your appointment. 
Appointment request
Need an appointment with a dentist in Atlanta ? Requesting an appointment at our Atlanta, GA family and cosmetic dental office is now easier than ever. Fill out the form below and we'll contact you to find a time that fits your schedule. Start your journey towards a beautiful smile with us today!
Patient Name*
Phone Number*
Email Address
Are you a current patient?
Best time(s) to call?
Preferred Appt Date
Preferred Appt Time
Describe the nature of your appointment or any other comments