New Patient Information

Thank You for Choosing My Family Dental!

New Patient Forms

Please print and fill out these forms so we can expedite your first visit:

Opens with: Adobe Acrobat
Opens with: Adobe Acrobat

Dentist Accepting New Patients: New Patient Forms | My Family Dental - newpat1Your first visit to My Family Dental is key to setting the foundation for our relationship.

During the first visit, we will gather important background information, like your medical history, and allow time for you to get to know your doctor.

To understand what to expect, please browse our About Us section for links to our office locations, hours, payment policies and more. There's also great information about our dedicated staff and first-visit procedures. Save time before your first visit by printing out and completing the new patient forms.

Most My Family Dental Centers Are Open During These Hours:


8:00 AM - 8:00 PM
8:00 AM - 8:00 PM
8:00 AM - 8:00 PM
8:00 AM - 8:00 PM
8:00 AM - 5:00 PM
8:00 AM - 3:00 PM

My Family Dental Locations:

Payment & Finance Options

Credit Cards: My Family Dental gladly accepts major credit cards including Visa, MasterCard, Discover and American Express.

Dentist Accepting New Patients: New Patient Forms | My Family Dental - smartpaySmartPay: In-house Financing Program
Payment Plans - Dentist, Cosmetic Dentistry - My Family Dental - smartpaySmartPay is our in-house financing program that makes dental work more affordable for our patients.

With only a small percentage down, patients can schedule recurring payments up to 12 months from their checking account or credit cards. This program does not require a credit check. Some restrictions apply. Call today for more information.


Dentist Accepting New Patients: New Patient Forms | My Family Dental - 421CareCredit® is here to help you pay for treatments and procedures your insurance doesn’t cover. We offer no interest* financing or low minimum monthly payment options so you can get what you need, when you need it. You can even use CareCredit for your family and favorite pet.

With three simple steps, including an instant approval process, it’s easy to apply for CareCredit. After you’re approved, you’re free to use CareCredit for the services you choose including LASIK, veterinary, dentistry, cosmetic, hearing aids and more.

CareCredit is endorsed by some of the most credible organizations specific to each healthcare profession we support. And CareCredit is a GE Money Company, so you know you can count on us. For over 20 years, we’ve been helping over five million cardholders get the healthcare treatments they want and need.

Now you don’t have to worry about saving up for the procedures you want and need. With CareCredit, the decision’s in your hands to get what you want, when you want it. For more information or to apply online, visit