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Information on new patient enrollment at our practice

If you are seeking new patient enrollment for dental care or suffering from orofacial conditions, chronic jaw pain or orofacial diseases, burning mouth, dry mouth, orofacial cancer, and need focused care, we understand your need for a tailored management approach.

Contact us: +1 (407) 636-6003

Patients with Doctor referral

New patient enrollment in our practice is simple. If you are looking to enroll in our practice and referred by a doctor please provide us your doctor’s referral letter and notes or use our referral form below to expedite the process

PATIENT REGISTRATION

You can register here to enroll in our practice. All communications can be securely made through the patient portal once you register with our practice. You will also be able to request an appointment via secure communication.

You may call to make your appointment please provide all the following details:

  1. Full name
  2. Contact phone number
  3. email address
  4. Date of Birth

We will register your information and you will be able to complete the forms after activating the patient portal. Once we activate, you will receive an email to enroll via the patient portal and link to complete forms. Through the patient portal, you will be able to complete all the forms online through the secure patient portal.

You can have all relevant medical records such as doctor’s referral, doctor notes, recent blood test reports, biopsy reports or other relevant records, faxed to us. Our fax number is 407-636-6019. You can choose to mail the records to our center.

You may choose to bring the records with you, in that case, please allow adequate wait time for our doctors to review the records. Please plan to arrive at least 15 minutes early to complete the paper works.

Our mailing address is

Center for Integrative Oral Health Inc.

7151, University Blvd, Unit 110, Winter Park, Fl -32792

Self-referral

For new patient enrollment for dental care or consult without a referral you may choose to contact us either by phone +1 (407) 636-6003 or use appointment request form below to schedule the appointment

Please arrive 30 minutes early to fill the paper works in our office if you have not completed online prior to your visit . Otherwise, provide your email when calling for the appointment, so you can fill the form prior to the visit.

What to expect during your first visit?

The following information may help us to understand your condition and facilitate the new patient enrollment process. Thus, we can provide you a well-tailored management plan towards a better prognosis.

Please assist us by providing the following information

  • Doctor’s referral for consult or evaluation and management
  • Prior health reports, blood test reports
  • Prior Dental, PAN, Xrays, if you fail to bring we will need to take X-rays which will be an additional cost at a flat fee.
  • Prior biopsy reports
  • Any head and neck, jaw, or dental X-rays
  • List of medications and allergies
  • Prior treatment information