Forms

We want your visit to be smooth and pleasant, so we took our most common forms that patients like you have filled out, and gathered them here. If you fill out the forms on this page and bring them to your appointment, we'll be that much closer to having you on your way with a great smile!

Please click the form name(s) below to download and prefill the forms.

A patient fills out a form ahead of time

Your neighbor says

Dr. Truitt has been my dentist since he started his practice in Winter Haven, Florida over 30 years ago, and he and his staff have provided excellent care, not only for me, but for my wife and two daughters as well. He not only is a professional and very competent, but he and his staff have always been caring, compassionate, courteous and efficient. They seem to be interested in you as a patient and as a person. In my own experience, whether it be fillings or crowns, he has "walked me through" the experience, helping me to understand what would/might take place and assauging some of the uneasiness of such a visit. I am so grateful for the wonderful care provided by him and his staff and would highly recommend them to anyone.

Brenda and Randy, from Winter Haven