Patient Forms

Thank you for choosing Eagle Creek Dentistry for your dental care!  We are delighted to welcome you to our family of dental patients. To make your visit smoother and reduce wait time during your visit, please complete the above New Patient forms; and if you have dental insurance please enter your name exactly as it appears on your insurance card. 

If you have any questions, please do not hesitate to call us at 239-417-6453 (239-41-SMILE) during office hours.

Monday - Thursday 8:00AM - 4:00PM

“Our mission is to provide high quality comprehensive oral health care based on mutual trust in a safe, comfortable, and friendly environment while maintaining a high standard of ethics. It is our genuine compassion for people that ensures our patients receive optimal oral health care and remain our highest priority.” 

Office Hours

Monday-Thursday: 8:00 AM - 4:00 PM





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