Patient forms

It’s common in our industry to be asked to show up earlier than your scheduled appointment times to fill out the necessary paperwork. These new patient forms typically ask for your name and address, contact information, emergency contacts, as well as all insurance information.


However, sometimes it’s not always possible to show up early, especially if you’re arriving from work. That’s why, for your convenience, we have made all new patient forms instantly downloadable. Just print, fill the forms out and bring them with you to your first appointment. This will expedite the process, allowing you to be seen right away by Dr. Ouellette and staff.



We have separate forms for our adult and pediatric dentistry patients. Please download the appropriate forms. If you need help, feel free to call our office anytime.


Download Adobe Reader The above files are in the PDF format. If you’re unable to open the documents to fill them out, you can get get Adobe Reader® for free. As always, we thank you for choosing the Dental Specialists as your local Merritt Island dentist. We are committed to helping you achieve a healthy, straight and beautiful smile, and look forward to seeing you at your first appointment.

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