Niceville Family Dental Center

(850)-729-1223

At Niceville Family Dental Center, we want to make your visit as easy and stress-free as possible.  For that reason, we make our forms and information available on-line for you to print out in advance.

For an Adobe PDF printable version of our Patient Information/Insurance Form, please click here.

For an Adobe PDF printable version of our Patient Medical History Form, please click here.

Niceville Family Dental Center is required by federal and state laws to maintain the privacy of your health care information. We are also required to give you a copy of our privacy practices, our legal responsibilities/duties and your rights concerning your health care information.

To expedite our legal obligation of providing you with a copy of our privacy policy, we have made this policy, along with the acknowledgement indicating your receipt of said policy, available through this website. If you are a new patient, we ask that you print out and sign the Acknowledgement of Receipt form and bring it with you at your initial visit to our office.

For a printable Adobe PDF version of our Notice of Privacy Practices, please click here.

For a printable Adobe PDF version of our Acknowledgement of receipt of Notice of Privacy Practices, please click here.

If you have any questions regarding these documents, please do not hesitate to contact our office.

Copyright 2011