Patient forms

For your convenience feel free to print and fill out the below forms prior to your appointment!

Patient Forms

Notice-of-Privacy-Practices
Privacy
Medical-History
Medical History Form – JLD
Financing
Financial Agreement
Dental-History
Dental History
Release Consent
Schedule Appointment

360º Virtual Office Tour

Here at Jennifer Lopez Dental our friendly atmosphere and gentle to the touch approach are unparalleled, come take a virtual tour of our brand new state-of-the-art dental office!