Patient Forms and Information

Welcome to University Park Family Dentistry, LLC Dr. Jeffrey Turner

• Photo Identification
• Insurance Card (Dental and Medical) with booklet (if you have one)
• Complete New Patient Forms by clicking on New Patient Forms, complete and submit
• Previous dental records (if < 1 year since last dental visit)
• Co-pay
• List of current medications
• A SMILE!

If you can not make your scheduled appointment, we appreciate at least 48 hours notice

Click on the form(s) you need to complete:

• New Patient Forms
• Existing Patient Health History Update
• Address and/or Insurance Update
• Credit Card Authorization:   authorization-for-credit-card-use.pdf