Patient Information

Dr. Dina Ghaly | Pediatric Dentist

New Patient Forms

At Fair Oaks Smiles Pediatric Dentistry, we prioritize a welcoming and positive patient experience from the moment your family walks through our doors. To make your first visit as smooth as possible, we encourage you to complete your new patient forms and registration securely online before arriving. Providing this information ahead of time allows our expert dental team to thoroughly review your child's medical background and prepare a highly personalized, preventative care plan.

We look forward to partnering with you to build a strong foundation for your child's lifelong oral health.

Complete your forms online before your appointment for a faster and more convenient visit.

Patient Registration Forms Patient Portal

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