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Altamonte Springs FL Dentist Office Patient Form

For new and existing patients of Maitland Ave Smile Co in Altamonte Springs, FL, we recommend you complete or update the patient form below prior to your scheduled appointment. To help streamline the registration process, we offer a convenient online patient form.

Digital Patient Form >


If you are unable to fill out your new patient form prior to your appointment, please arrive at least 15 minutes before your scheduled visit to allow time for completion. If you have any questions or concerns, kindly contact our experienced dental care team. Please call (407) 636-2402 with any questions.

New Patients

Please fill out the form listed above. The form helps provide our team with the information needed to create your personal file. This allows us to learn more about your dental health and helps our dental care team create the best dental experience for you.

Existing Patients

As an established patient of Maitland Ave Smile Co, you will only need to resubmit your patient forms if any of the following conditions apply:

  • A change in insurance: Any changes in your insurance carrier should be documented.
  • A change in address: Please document any changes in your address.
  • All changes in medical history: Any changes in your medical history should be put on file so that we can better accommodate you during your appointment and offer the best treatment options for your dental needs.


Digital Patient Form >