NEW PATIENT FORMS

Please prepare for your first appointment by completing our new patient information forms.

Download these forms to your computer to complete at home and then bring them with you to your first appointment.

Locations

5010 Gunn Hwy, Tampa, FL 33624

Phone: (813) 960-5869

Email: diezimages@gmail.com

  • MON - TUE8:30 am - 5:00 pm
  • WED8:30 am - 3:00 pm
  • THU8:30 am - 5:00 pm
  • FRI8:30 am - 1:00 pm
  • SAT - SUNClosed
Contact Us

3112 West Kennedy Blvd Suite A, South Tampa, Fl 33609

Phone: (813) 874-5869

Email: chris.southtampadental@gmail.com

Fax: 8138745821

  • MON - TUE8:30 am - 5:00 pm
  • WED8:30 am - 3:00 pm
  • THU8:30 am - 4:00 pm
  • FRI - SUNClosed
Contact Us