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Call Today561-763-9578 Request an Appointment
784 US-1 #10, North Palm Beach, FL 33408
  • Home
  • About Us
    • Meet the Doctor
      • Adrian Acosta, DMD
    • Why Choose Us
  • Our Dental Services
    • General Dentistry
    • Family Dentistry
    • Cosmetic Dentistry
      • Teeth Contouring/ Crown Lengthening
      • Gum Reshaping/ Gummy Smile Treatment
      • Gum Recession Treatment
    • Invisalign
    • Restorative Dentistry
    • Dental Implants
    • Dental Sedation
    • Dental Emergencies
    • Oral Surgery
  • Patient Testimonials
    • Smile Gallery
  • Patient Resources
    • Patient Forms
    • Payment Options
  • Covid-19 Protocols
  • Blog
  • Search
Patient Forms
  • Fill out your patient forms ahead of time
  • Reduce hassle & headache in our office
  • Spend more time with your dental team
Save Time On Paperwork
561-763-9578 Request an Appointment

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Home > Patient Forms

Complete Your North Palm Beach Patient Forms at Home

Dr. Acosta and our staff want to make it as easy as possible for new patients coming to our office. One of the ways we do this is by making our patient forms in North Palm Beach available online.

That’s one less thing you’ll have to worry about when you come for your first visit. We don’t want you having to juggle your driver’s license, insurance card, and other belongings while filling out paperwork.

Just fill out these forms ahead of time at your convenience and bring them with you to your appointment. If you have any questions on new patient forms or anything else, give us a call at 561-763-9578. Our friendly crew will be glad to help!

New Patient Forms

What Our Patients Are Saying

M. H. (Verified Patient) | Jan 07, 2021
5
Always happy with my visits with Dr Acosta or with his hygienist. Excellent dental care...
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Always happy with my visits with Dr Acosta or with his hygienist. Excellent dental care and extremely pleasant atmosphere. My highest recommendation.

C. P. (Verified Patient) | Dec 21, 2020
5
I recommend Dr. Acosta, he was professional and courteous. The office is inviting and fully...
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I recommend Dr. Acosta, he was professional and courteous. The office is inviting and fully staffed with kind people!

K. S. (Verified Patient) | Dec 08, 2020
5
Great professional dental care. I have been a patient for over ten years and always...
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Great professional dental care. I have been a patient for over ten years and always look forward to my appointment.

M. W. (Verified Patient) | Dec 03, 2020
5
Brianna has been courteous, professional, encouraging, & helpful at getting my smile back in order....
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Brianna has been courteous, professional, encouraging, & helpful at getting my smile back in order. After a thorough cleaning, she lets you know what areas need "a little more time and attention" with your brush at home, and which areas "you're doing great" with. Let's face it: every hygienist asks "Are you flossing regularly?" She'll take the time to help you with areas you're having trouble flossing, and do what she can to send you on your way with a clean smile you can maintain on your own for 3-6 months until it's time for her to do whatever it takes to get your teeth squeaky clean again. Dr. Acosta has installed a crown for me, a service I've had done at other dentists (in the past), as well. All went well with that, and it's one of the best fitting crowns I've had done. If you need a dentist, and this office is "on your plan", it's a great place. Check with your insurer though, because nobody likes "surprise billing" for any medical or dental procedures... Dr. Acosta's front office staff can help you navigate what your insurance is likely to pay, and lets you know up front how much to expect their services to cost "out-of-pocket" before the dental work is done. I've been in Dr. Acosta's office several times since the Covid-19 pandemic began, and each time they've gone above and beyond my expectations to avoid any potential chances for patient exposure.

T. T. (Verified Patient) | Nov 23, 2020
5
Dr. Acosta is patient, kind and a true professional. He is also clearly a master...
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Dr. Acosta is patient, kind and a true professional. He is also clearly a master of his craft. I highly recommend his skilled, state of the art practice for everything from general & deep cleanings to complex cosmetic dentistry. This beauty pictured is one of his super happy patients, showing off her new smile😁

Read Our Patient Testimonials
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561-763-9578
Call Us Today
784 US-1 #10, North Palm Beach, FL 33408
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Contact Us Request an Appointment
  • Monday 9:00am-5:00pm
  • Tuesday 9:00am-5:00pm
  • Wednesday 9:00am-5:00pm
  • Thursday 9:00am-5:00pm
  • Friday Closed
  • Saturday Closed
  • Sunday Closed
Call Today to make an Appointment 561-763-9578 Request an Appointment

Location

784 US-1 #10, North Palm Beach, FL 33408
View Larger Map

Office Hours

  • Monday 9:00am-5:00pm
  • Tuesday 9:00am-5:00pm
  • Wednesday 9:00am-5:00pm
  • Thursday 9:00am-5:00pm
  • Friday Closed
  • Saturday Closed
  • Sunday Closed

Latest Blog Articles

The Top 5 Reasons to Make Your Smile Your New Year’s Resolution

If you’re one of the millions who sets a New Year’s resolution every January, maybe this year is the year to ...

Read More
Create a New Smile in 2021 with Cosmetic Dentistry

Give yourself a new reason to smile for the new year. Boost your confidence by improving your smile with cosmetic ...

Read More
Call Today to make an Appointment 561-763-9578 Request an Appointment

Location

784 US-1 #10, North Palm Beach, FL 33408
View Larger Map

Office Hours

  • Monday 9:00am-5:00pm
  • Tuesday 9:00am-5:00pm
  • Wednesday 9:00am-5:00pm
  • Thursday 9:00am-5:00pm
  • Friday Closed
  • Saturday Closed
  • Sunday Closed

Latest Blog Articles

The Top 5 Reasons to Make Your Smile Your New Year’s Resolution

If you’re one of the millions who sets a New Year’s resolution every January, maybe this year is the year to ...

Read More
Create a New Smile in 2021 with Cosmetic Dentistry

Give yourself a new reason to smile for the new year. Boost your confidence by improving your smile with cosmetic ...

Read More
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