Patients Forms

To make your visit to Balaclava Dental care more convenient for you, we have provided our patient forms online.
Simply fill out these forms in advance to save a few minutes at your appointment with our dentists.
If you have any questions about our forms, please call us at your convenience.

MAINTAINING GOOD ORAL HEALTH IS IMPORTANT THROUGHOUT YOUR LIFE FROM INFANCY THROUGH THE SENIOR YEARS.

Brush your teeth twice a day
Floss your teeth once a day
Get regular dental check-ups and professional teeth cleaning
Eat a balanced, low-sugar diet
Once you establish proper dental hygiene habits, you should maintain them throughout your lifetime.

SMOKING AND ALL FORMS OF TOBACCO ARE HARMFUL TO YOUR ORAL HEALTH AND BAD FOR YOU IN GENERAL, POSSIBLE ORAL HEALTH IMPACTS INCLUDE

stained teeth and tongue
bad breath
dulled sense of taste and smell
slow healing after a tooth extraction or oral surgery
difficulties in correcting cosmetic dental problems
gum disease and tooth loss
oral cancer
Quitting is the only way to decrease your risk of these and other tobacco-related health problems

A WHITE SMILE IS A GREAT ACCESSORY FOR EVERYONE.

Talk to us to find out which whitening option is right for you.
Everybody loves a bright white smile, and there are a variety of products and procedures available to help you improve the look of yours. Many people are satisfied with the sparkle they get from daily oral hygiene and regular cleanings at your dentist’s office, but if you decide you would like to go beyond this to make your smile look brighter, you should investigate all of your whitening options.
(by College of Dentistry, university of Florida)