Get in touch
555-555-5555
mymail@mailservice.com
ESPELETA DENTAL
KARL G. ESPELETA, D.D.S.
Serving and Located in Englewood, OH 937-836-6066
Preparing for
Your Visit
Download and Print Our New Patient Forms
At Espeleta Dental, it is our goal to get you seated for your treatment in a timely and efficient manner. As with all medical offices, we do require paperwork to be completed prior to your visit. We provide the forms online so that you can thoroughly complete them in the comfort of your own home or office, where you can take your time and have access to all necessary information. Please download and complete the forms below to expedite your visit.
New Patient Forms
Additional Information
We also have information on the interactions of herbal medications and our shared parenting policy for minors. Please review the following documents if they pertain to you and your family. You can always contact us for more information
Records Transfer Request
Need a copy of your dental record? Please print and complete the following records release form
and return it to our office. This form is required by our practice to verify that we have your permission to release your dental records.
Call us today to schedule an appointment.
937-836-6066
You can always rely on our dental care experts to provide you with individualized services. We pride ourselves on building great relationships with our clients. Contact us
today to learn more about us and our services.