Patient Forms

We want to welcome you to the Gemini Dental family!

We are glad that you are interested in becoming a patient of Gemini Dental. New patients are always welcome here. Everyone at Gemini Dental is committed to making your visits pleasant and stress-free. You can count on our friendly, highly experienced staff to always provide the highest standard of dental care in a clean, state-of-the art environment. Your comfort is our top priority.

We look forward to seeing you soon!

Dr. Luis Velis and the Gemini Dental team

Click below to download New Patient Registration Materials

 

Patient Registration Form

Authorization Form

Appointment Policy Form

Financial and Insurance Policy Form

HIPAA Form

 

Formas en Español

Registro de Paciente

Autorizacion Para Tratamiento Dental