Patient Forms

PATIENT FORMS


There are two sets of forms provided below - one set that pertains to existing patients and one set that pertains to new patients. If you are an existing patient, please see the .pdf files provided below. If you are a new patient, skip to the section provided below entitled "NEW-PATIENT FORMS".


FORMS FOR EXISTING PATIENTS

There are two forms provided below:

    1) Medical History Update

    2) Questionnaire and Informed Consent Related to COVID-19

These are provided for your convenience and will save time when you arrive for your scheduled visit. Please print the appropriate files provided below, fill these out prior to your next appointment, then hand these to a front desk staff member upon your arrival. Thank you for being a valued patient!

NEW-PATIENT FORMS

Welcome aboard! It is important that we have detailed information about you to allow us to provide dental care for you in a safe and efficient manner. For these reasons, it is necessary that paperwork be completed prior to treating you as a patient.

There's an option of completing the required paperwork once you've arrived at our office for your initial visit. If so, please allow for an additional 15 to 20 minutes in order to carefully complete the paperwork that's needed. However, for your convenience, there are two options provided here that will allow you to save time at our office:

1) Complete the "New Patient Online Questionnaire" provided below online then submit this electronically using secure HIPAA-compliant encryption; or

2) Print the appropriate pdf. files provided below, fill these out prior to your first appointment, then hand these in upon your arrival.

We look forward to welcoming you aboard at Venetian Pointe Dentistry soon!

VENETIAN POINTE DENTISTRY

Welcome to Venetian Pointe Dentistry, a comprehensive dental care office serving families in Orlando, FL. We strive to provide the highest quality dental services in an environment where patients of all ages can feel comfortable. Our affiliations include:

  • The Academy of General Dentistry
  • The American Dental Association
  • The Florida Dental Association
  • The Central District Dental Association
  • The Dental Society of Greater Orlando

For more information about our services, please contact our office online, or call (407) 584-1152.

Visit Our Office

Orlando

5940 Turkey Lake Rd, Orlando 32819

Email: frontdesk@vpdentistry.com

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Office Hours

  • MON - FRI8:00 am - 5:00 pm
  • SAT - SUNClosed
(407) 352-6959