Patient Forms
Dr. Letizia and her staff appreciate you choosing us to begin your journey to a healthy, aesthetic smile. To prepare for your upcoming initial visit or consultation, please print and fill out the Patient Forms below, so we can offer minimal waiting time and get you started on your journey in an efficient manner.
We will call to confirm your appointment a few days in advance. If for any reason you’re unable to make your appointment, please call and let us know as soon as possible. Also, please feel free to contact us with any questions or concerns you may have.
Click the buttons below to download and print:

Patient Information Form

Patient Medical Information Form

Patient Consent Form

Patient Cancellation Policy Form

Patient Covid 19 Screening Form