If you are a new patient to our office, the attached file contains our new patient bundle with forms that will need to be filled out when you arrive at our office. Printing them, filling them out and bringing them with you will allow us to attend to your medical needs more quickly than completing them on your arrival. Thank you and please call our office if you have any questions at all.
Patient Forms ( Print & Complete All Forms Prior To First Office Visit)
Medical History.pdf
Dental Insurance.pdf
Demographics.pdf
SD_Cancellation, Insurance Disclaimer, Notice of Privacy, X-rays coverage.pdf
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.
I have been a patient here for years and always have a great experience. Dr. Haritos is an excellent dentist! He is always gentle and very knowledgeable. The staff at Super Dental Family Center is so friendly and helpful.
Susie G.
I’ve been going to Super Dental for nearly 25 years and it has always been a great experience. From the women at the front desk to the doctors. I’ve got major and minor work done and I’ve always felt like they’ve kept an honest practice.
Lourdes S.
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