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
In order to protect you and our employees due to the Coronavirus pandemic, we will be operating on a limited schedule until further notice.

Your dental health is important, and our patients’ safety is our top priority. We want to assure you of the measures we take to maintain a clean and safe environment so you can continue to receive needed dental care without fear or concern. We are monitoring the COVID-19 situation and all CDC guidelines very closely.

Read More.