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Patient Forms

Alligator Pediatric Dentistry Forms

When it comes to filling out paperwork, we make it easy! You can either fill out the New Patient Form Online and automatically submit it (fast and easy) OR you can Print it Out, fill it out, and bring it with you to your next appointment.

Alligator Orthodontic Forms

Are you a new Alligator orthodontic patient? For children or adults, please fill out our online form to save time before you come to our facility.

CARE TO SHARE PATIENT REFERRAL FORM

Who Referred You?

Care to Share is a great way to give and receive!

If you feel great about the care that you have received while at our office, tell your friends! Send the link to this page to your friends and family and have them fill out the form so that you can both receive rewards!

If someone says that you referred them, we'll give you a $25 gift card or credit your account $50 if you have an outstanding bill with us.

Your friend will also receive $50 off their New Patient Exam.

The discounts for New Patient Exams can only be used once per family, but you can send out as many referrals links as you'd like!

If you have any questions, give our office a call at 208-542-1333.