ONLINE PATIENT FORMS
New Patients
Our practice is working together to realize a shared vision of uncompromising excellence in dentistry.
ONLINE PATIENT FORMS
New Patients
Our practice is working together to realize a shared vision of uncompromising excellence in dentistry.
Please fill out ALL of the forms below so we can expedite your first visit:
In order to view or print these forms you will need Adobe Acrobat Reader installed. Click here to download it.
Once the form has been submitted, it will come directly to our office…NO NEED TO PRINT!
Please fill out ALL of the forms below so we can expedite your first visit:
In order to view or print these forms you will need Adobe Acrobat Reader installed. Click here to download it.
Once the form has been submitted, it will come directly to our office…NO NEED TO PRINT!
What to expect
Being well-prepared for your appointment will ensure that the doctor has all of the needed information to provide the best possible care for you. It also will help relieve any unnecessary anxiety you may be feeling. Educate yourself on your symptoms by reviewing the content on this Web site. Also, take some time to review our team page and familiarize yourself with the doctors. We look forward to your first visit.
Contact us today
We’ll give you something to smile about. We know you have many choices when choosing a Dentist so we have made requesting an appointment a simple process via our Web site. If, for any reason you cannot keep a scheduled appointment, or will be delayed, please call us as soon as possible. Any appointments cancelled less then 24 hours will be subject to a $25 Fee.
575.468.0088
Office Hours
Mon-Thur: 8:00am—6:00pm
Fri-Sun: Closed
What to expect
Being well-prepared for your appointment will ensure that the doctor has all of the needed information to provide the best possible care for you. It also will help relieve any unnecessary anxiety you may be feeling. Educate yourself on your symptoms by reviewing the content on this Web site. Also, take some time to review our team page and familiarize yourself with the doctors. We look forward to your first visit.
Contact us today
We’ll give you something to smile about. We know you have many choices when choosing a Dentist so we have made requesting an appointment a simple process via our Web site. If, for any reason you cannot keep a scheduled appointment, or will be delayed, please call us as soon as possible. Any appointments cancelled less then 24 hours will be subject to a $25 Fee.
575.468.0088
Office Hours
Mon-Thur: 8:00am—6:00pm
Fri-Sun: Closed
Affordable Treatment & Friendly Assistance.
Our team at Eastern Family Dentistry is dedicated to making sure that you receive affordable treatment. That is exactly why we accept a wide range of insurance plans, including most traditional ones, and have financing options available.