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(321) 773-7551

New Patient Forms

New Patient Forms and Online Forms

New Patient Forms and Online Forms

Satellite Family Dentistry offers our patient form(s) online so they can be completed it in the convenience of your own home or office. Follow these easy three steps:

  • If you do not already have AdobeReader® installed on your computer, Click Here to download.
  • Download the necessary form(s), print it out and fill in the required information.
  • Bring them with you to your appointment.

New Dental Patient Form - Required

This lets us know the history and current state of your dental health. What questions, concerns, goals, regarding dental care can we help you with? Let us know!

Download & Print New Patient Forms
Download & Print Amalgam Consent Form
Download & Print Antibiotic Prophylaxis Guidelines
Download & Print Dental Examination Policy
Download & Print Our Privacy Policies

Download the Free AdobeReader®

Business Information

Our Location

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Hours of Operation

Our Regular Schedule

Primary Location

Monday:

8:00 am-5:00 pm

Tuesday:

8:00 am-5:00 pm

Wednesday:

8:00 am-5:00 pm

Thursday:

8:00 am-5:00 pm

Friday:

8:00 am-5:00 pm

Saturday:

Closed

Sunday:

Closed

Newsletter

Featured Articles

Read about helpful topics

  • Invisalign®

    Invisalign's® invisible, removable, and comfortable aligners will give you the beautiful straight teeth you've always wanted. And best of all, no one can tell you're wearing them. Invisalign® is great for adults and teenagers. What is Invisalign®? Invisalign® is the invisible way to straighten ...

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  • Veneers

    Teeth that are badly stained, shaped or crooked may be improved by a veneer placed on the surface of the affected teeth. Veneers are thin pieces of porcelain or plastic cemented over the front of your teeth to change their color or shape. Veneers are used on teeth with uneven surfaces or are chipped, ...

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  • Fillings

    Frequently asked questions: dental fillings Are dental amalgams safe? Is it possible to have an allergic reaction to amalgam? Is it true that dental amalgams have been banned in other countries? Is there a filling material that matches tooth color? If my tooth doesn't hurt and my filling is still in ...

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  • Sealants

    Sealants are liquid coatings that harden on the chewing surfaces of teeth and are showing a great deal of effectiveness in preventing cavities—even on teeth where decay has begun. The pits and grooves of your teeth are prime areas for opportunistic decay. Even regular brushing sometimes misses these ...

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  • Your Rights and Responsibilities as a Patient

    Patient Rights You have a right to choose your own dentist and schedule an appointment in a timely manner. You have a right to know the education and training of your dentist and the dental care team. You have a right to arrange to see the dentist every time you receive dental treatment, ...

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  • Overview

    Pain can occur in any number of places in your mouth: teeth, gums, roots, the palate, tongue and jaw. Cavities are a common culprit causing pain. Untreated cavities can impact nerves because of infections of the tooth and gums. Impacted and abscessed teeth and sore jaws from teeth grinding are other ...

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  • Toothaches

    Simple toothaches can often be relieved by rinsing the mouth to clear it of debris and other matter. Sometimes, a toothache can be caused or aggravated by a piece of debris lodged between the tooth and another tooth. Avoid placing an aspirin between your tooth and gum to relieve pain, because the dissolving ...

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  • Introduction

    Does mercury in the silver fillings in your mouth pose any long-term health risks? Does fluoride, in spite of everything we've been told since childhood, actually cause more harm than good? What does the latest research reveal about tobacco use on your overall oral health? This section is dedicated ...

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  • Your First Dental Visit

    Your first dental visit promises to be a pleasant experience. Making sound decisions about your dental care and oral health is an easy thing to do with the right preparation beforehand: Make a list of questions to ask our office, so you don't forget anything on the day of your appointment. This ...

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  • Medications

    Some dental procedures, such as tooth extractions and oral surgery, may call for our office to prescribe medications before or after a procedure. These medications are used to prevent or fight an infection, or to relieve any post-operative discomfort and pain. For these reasons, it is extremely important ...

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Testimonials

Testimonials

What Our Clients Say About Us

  • "Visiting Satellite Family Dentistry gives my family and me more reasons to smile."
    The Johnson Family
  • "Dr. Calderon provided me with excellent care when I needed it the most."
    Jennifer R.