Patient Forms

The first visit to our office is designed to get you better acquainted with all we offer as well as introduce you to Dr. Myrie, Dr. Toney and our caring staff. We encourage questions and do our best to always deliver quality care.


Please click on the following link, download the New Patient Forms.pdf and print them.

It is important to note that we accept the following dental insurance plans...

  • Delta Dental
  • Aetna          
  • Guardian
  • United Concordia
  • Blue Cross & Blue Shield of Alabama

Please take a moment prior to your scheduled appointment to download our patient forms. We ask that you complete the forms and bring them with you to your appointment so we may better assist you in a timely manner.

Thank you for your confidence in our dental office, we look forward to assisting you with all of your dental needs.

The Oral Cancer Screening (Form Is Included In patient Forms Below)

The single most important thing that you can do to reduce the impact of oral cancer is to have a comprehensive oral cancer exam at least ONCE each year. We hope that you will seriously consider having an oral screening for oral cancer.

Our practice has recently begun encouraging oral screening for ALL  of our patients for oral cancer. Early detection is critical to reducing your risk factors. For additional information on oral screening please visit feel free to view our informative video on this innovative new screening process by clicking the following link - mms://

Please click on the following link, download the New Patient Forms.pdf and print them. 


This web site uses files in Adobe Acrobat Portable Document Format (pdf) which require Adobe® Acrobat® Reader for viewing and printing. It is available to download free.



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