Patient Forms

Make Your First Visit Easy!

Save 20 minutes at your first visit by completing your forms  prior to your 1st appointment!

We have made our new patient forms available on this website for your convenience!  You can fill out our new patient forms at home before visiting our office.

If you have any problems with the forms, simply call our office and we will gladly send or fax them to you.   We look forward to meeting you and helping you with your dental needs!

Patient Forms

This web site uses files in Adobe Acrobat Portable Document Format (pdf) which require Adobe® Acrobat® Reader for viewing and printing. It is available to download free.

 

I am so Thankful we have found a dentist that cares. Dr Hernandez and his staff have been great in taking care of my husband. I have appreciated the calls and text to check on him. Thank you so much for what you do!
R

Rebecca R.
I would like to personally thank Dr. Jay Herrington, and his wonderful, well trained staff. My visit today was a total pleasure, and the service was impeccable. There was no wait time at all, and a total painless experience. I would highly recommend Dr Jay Herrington for all your dental needs. Everyone was so nice and professional, just a treat to see this kind of service.
G

Gene C.
Hands down, the best dental office around! Dr. Jay Herrington and JR. Hernandez are both such great Doctors! The staff is very professional, and very nice. Will forever be my dental home. I’ll always recommend this office!
B

Brent D.
Best dentist I have ever seen!!!!!!!! Jr. Hernandez
C

C. Jones

I have had lots of dental work in the past and Dr Hernandez has been absolutely awesome and so has the other staff. Very friendly and courteous.
K

K Carouth

The last time I went to Dr. Hernandez. I had four teeth pulled, this was the second time I went to him he’s the best I need more work done and he will be the only one I’ll go to. His staff is warm and calm and makes sure you are not only comfy but very very comfortable.
B

B. Meeks

Katy did a wonderful cleaning on my teeth.
P

Penny Marie L.
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