Patient Forms

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Serving The Villages Community Since 1997

352-633-4145

Patient Forms

e love meeting new patients and offer a $55 New Patient Special. But we also understand that you have an active life, and we know that a visit to Village Dental can take time away from other activities with friends and family. Our dentists and team know that your time is valuable and that you want to get the most out of your visit to our office. We have provided access to our new patient forms below:

Online forms:

NEW PATIENT FORM
PATIENT UPDATE FORM

Printable Forms:

NEW PATIENT FORM

NOTICE OF PRIVACY PRACTICES

PATIENT UPDATE FORM

You can download and complete your forms in the comfort of your own home and bring them with you to your appointment at any of our three convenient dental offices in The Villages, Florida. By taking care of your paperwork before your visit, you will be able to spend more time with our team creating your new smile.

Post-Procedure Instructions

At our offices, we offer a variety of services to help you keep your smile healthy and attractive. However, once your visit is over, the success of your dental work will depend on you. Our dentists or a member of our team will talk with you about how to care for your treatment site or restoration, and we strongly suggest that you download and read the post-procedure instructions below. The right aftercare is essential to making sure that your smile serves you well for life.

LASER-ASSISTED PERIODONTAL THERAPY

TOOTH EXTRACTION OF IMPLANT PLACEMENT

CROWN AND/OR BRIDGE

If you need assistance completing your forms, or if you would like to plan your visit with us, contact our team today at 352-633-4145. We are available to treat dental emergencies. You are welcome to visit us at any of our three golf cart-accessible locations.

Dr. Hill, DMD

We are excited to have Dr. Hill join our team! He is a skilled dentist who will bring out the best in your smile.

Dr. Michelle Dulgar, DMD

We are excited to have Dr. Dulgar join us as a partner doctor with Village Dental. She is a skilled dentist who will take Village Dental to new heights!

Dr. Edward J. Farrell, DMD, MAGD, AFAAID

Dr. Farrell founded Village Dental and has earned a Mastership Award from the Academy of General Dentistry.

Dr. Richard P. Hall II DMD, MAGD, AFAAID

Dr. Hall is a graduate of the University of Florida College of Dentistry.

WHAT OUR PATIENTS ARE SAYING

TESTIMONIALS

Berry B.

"The day I got my permanent teeth, I could eat again! Even my health problems are gone. Village Dental gave me more than a new smile. They gave me my life back."

James D.

"The staff is educated, professional, and willing to please. Village Dental does excellent work."

Joyce R.

"The spirit of the office is so friendly and professional, and Dr. Farrell is perfect for me. I can eat and smile comfortably again!"

Lisa D.

"The time that all staff members dedicated to me, and the technology and state-of-the-art equipment made it a really positive experience. Village Dental blew me away!

3 Convenient Locations in The Villages to Serve You!