New Patient Forms

The hygienists and dentists at Prestige Dentistry in Palm Harbor and Trinity, Florida, welcome you as a new patient. In order to serve you best, please fill out the forms linked below and bring them to your first appointment. We look forward to meeting you!

Medical History Form

Notice of Privacy Practices

Office Policy

Patient Info Survey

Patient Dental Survey

Acknowledgement of Receipt of Notice of Privacy Practices

New Patient Online Offer

FREE Dental Implant Consultation
Call 727-877-1507 or email today for details
Contact Us

Your Name*

Your Email*

Your Phone Number

Which office would you like to contact?*

How can we help you?*

Our Locations
Prestige Dentistry - Palm Harbor
4140 Woodlands Pkwy Ste A
Palm Harbor, FL 34685
Call: 727-877-1507
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Prestige Dentistry - Trinity FL
1641 Davenport Dr
Trinity, FL 34655
Call: 727-263-2604
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