Your Medical and Dental History (Online Patient Form)
To make an appointment at d-spa please contact one of our three practice locations or fill out the form below. We look forward to your inquiry and will respond as soon as possible.
We also offer our Medical and Dental History form as a downloadable PDF that you can fill out and bring with you to your appointment.
|Click here to download our PDF form.|
* Please let d-spa know 48hrs before the appointment time of any changes, otherwise a $60 late cancellation fee will apply.