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New Patient Forms

The first visit to our office is designed to get you better acquainted with all we offer as well as introduce you to Dr. Fakhouri and our caring staff. We encourage questions and do our best to always deliver quality care.

Please take a moment prior to your scheduled appointment to complete our new patient forms online by clicking the link below labeled New Patient Forms. For patient's with a long list of medications, you may bring your list in with you to your appointment and we will scan it into your chart. If you would like our office to email or text you the link please contact us at 941-896-3915. Thank you for your confidence in our office, we look forward to assisting you with all your dental needs.

New Patient Forms


This web site uses files in Adobe Acrobat Portable Document Format (pdf) which require Adobe® Acrobat® Reader for viewing and printing. It is available to download free.