3450 OLD MILTON PKWY #110 ALPHARETTA, GA 30005 
678-562-1555 We invite you to fill out your patient forms before you visit Ace Dental Care! For your convenience, we have provided our patient forms online. Completing your paperwork in advance can save you time at our office, and it also helps us keep our office schedule moving smoothly. Call us at 678-562-1555 if you have questions or need help with our patient forms, and make your appointment with Dr. Pallavi Rakesh. We look forward to greeting you!
- HIPPA Policy: Read our Privacy Policy – HIPPA Policy
| FORMS | ||
|---|---|---|
| New Patient Forms (Submit Online) Save time and complete your forms online | Alpharetta Office | Norcross Office |
| New Patient Forms (Download) | Download (PDF-English) | Download (PDF-Spanish) |
| COVID-19 Dental Treatment Consent Form | Alpharetta Office | Alpharetta Office |
| Existing Patient Update Forms If you have any changes then please use the following forms | Alpharetta Office | Norcross Office |
| Email Email Your Completed Forms | Alpharetta Office | Norcross Office |
Alpharetta Office Patient Financing | Alpharetta Office
| Norcross Office
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