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Acosta Dental

(407) 645-4741
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You are here: Home / New Patient Info

New Patient Info

If this is the first time you are going to be visiting us, there is some preliminary information we will need in order to establish you as a patient. This information is typically gathered in our office before you have your first appointment, but if you would like to save time, we have made these forms available to you online.

You can download and print them out by clicking on the buttons below. Fill them out and bring them with you when you come in for your visit. We look forward to seeing you!

New Patient Information Form

New Patient Medical History Form

If you want to schedule an appointment fill out the form below.

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Acosta Cosmetic & Family Dentistry

2001 Lee Rd # B
Winter Park FL 32789

(407) 645-4741

[email protected]

Hours Of Operation

Monday: 8:00am – 5:00pm
Tuesday: 8:00am – 5:00pm
Wednesday: 8:00am – 4:00pm
Thursday: 8:00am – 12:00pm
Thursday: 1:00pm – 5:00pm
Friday – Sunday: Closed

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