Dr. Xhoana Gjelaj
Top Implant & Cosmetic Dentist in Trinity, Florida
Office Location
11105 Trinity Blvd, Trinity, FL
(727) 228-6846

New Patient

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(727) 228-6846

Dental Patient Forms
and Instructions

You can conveniently complete your new patient forms electronically with just a click of a button. Please take a moment and complete your new patient forms prior to your visit.

Patient Registration Forms

Click to Complete Electronic Patient Forms ›
You are required to keep a major credit card on file with us, authorizing charges for account balances older than 30 days and to confirm appointments scheduled in advance. We will always ask your consent and present financial arrangements in writing for any treatment we provide. A fee of at least $50.00 and a minimum of 50% of scheduling deposit is charged to patients who miss or cancel an appointment without 24 hour notice.
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