Affordable Dental Center of Wellington

New Patient Forms

Once you arrive to our office, you will be able to fill out all necessary forms conveniently on an iPad! Please feel free to give us a call if you have any questions prior to your appointment. 

New Patient Form - Adult

New Patient Form - Child

Have Questions? Get in Touch
If you have difficulty using our website, please email us or call us at (561) 422-1020
View the ADA Accessibility Statement