New Patient Forms

To help expedite your first appointment with us please bring a completed patient information form. It is a .pdf file available for you to download.

Click here to download the form

Once the form is completed, go to 'Print' and select the '.pdf'
option and download it to your desktop. Then email the form to:


You can print the form out and bring it with you to your next appointment.



Fill the form online.

Office hours: Monday through Thursday 8 a. m. - 4 p. m,

Oscar Menendez, D.D.S., F.A.G.D • 2682 West Lake Road, Palm Harbor, FL 34684

Serving Palm Harbor, Clearwater, Oldsmar, East Lake & West Chase..

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