Patient Forms
Patient Forms, Map & Directions to the St Augustine Dental Office
Your first visit to Matanzas Dental Associates establishes a vital foundation for our relationship with you. During the first visit, we make sure to obtain important background information, like your medical and dental histories, and give you time to get to know your doctor. To understand what to expect from your first visit to our practice, please read through this page. You’ll find all the practical information you need, such as a map and directions to our office, practice hours, payment policies and more. There’s also background information about our committed staff and our first visit procedures. You can even save some time at your first visit by printing out and completing the patient forms in advance of your appointment.
Patient Forms
Please print and fill out these forms so we can expedite your first visit:
- Patient Registration
- HIPAA Release Form
- Notice of Privacy Practices
- Dental History Questionnaire
- Medical History Questionnaire
- List of Current Medication
In order to view or print these forms you will need Adobe Acrobat Reader installed. Click here to download it.
Driving Directions
We are on the Southwest corner of SR 312 and Stg. Tutten Place (formerly Coke Road), in close proximity to the area’s premier medical center, Flagler Hospital. Our office is located on the 3rd floor of the Whetstone Building, next to Outback Steakhouse.
100 Whetstone Pl suite 308, St. Augustine, FL 32086, USA
What to Expect
Being well-prepared for your appointment will ensure that the doctor has all of the needed information to provide the best possible care of you. It also will help relieve any unnecessary anxiety you may be feeling. Educate yourself on your symptoms by reviewing the content on this Web site. Also, take some time to review the Meet the Doctors page and familiarize yourself with the professional husband and wife team.. We look forward to your first visit.