Forms

Please click on the items below, print, fill out, and return to our front desk receptionist.

Form #1

Form #2

Our practice is committed to providing you and your family with safe, gentle, high-quality dental care. We understand that you may feel anxious about visiting the dentist. We are sensitive to your needs, and it is our goal to make you feel comfortable visiting our practice while providing the best care possible.

Your first visit is all about you – your comfort, your happiness, and your health.

During your first visit, we will review your dental and medical history forms, and take X-rays of your teeth and mouth. Then, Dr. Civin will meet with you to discuss your X-rays, help you create your own individual treatment plan, and answer any questions that you may have.

At your next visit, one of our hygienists will clean and polish your teeth, checking your teeth and gums for any cavities or early signs of tooth decay or gingivitis.

Regular checkups are an important part of maintaining a healthy smile!

The American Dental Association recommends visiting your dentist every six months for regular checkups and routine teeth cleanings to keep your teeth and gums healthy.

We understand that you have a busy schedule, so when you’re preparing to visit the dentist, please remember that your appointments can last between 45 and 90 minutes.

Our Hours

Monday 8am – 5pm
Tuesday 8am – 5pm
Wednesday 8am – 5pm
Thursday 8am – 5pm
Friday & Evenings By Appointment Only
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561-624-2224
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5600 PGA Boulevard #102 Palm Beach Gardens, FL 33418
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Mark L. Civin, D.D.S. is ready to restore your smile

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