As a new patient, we would like you to complete a short but thorough health questionaire. This will help us to provide you with the best possible care. A single upper and lower jaw x-ray (panoramic view) may be taken. Appropriate additional radiographic and diagnostic studies will be performed as needed.
To help us speed up the process, we would like to ask you to fill out the following forms, print them and bring them with you. We are working to enable them for online submission very soon. All four are necessary, and will save you time at our office.
- Patient History
- Consent For Use and Disclosure of Heath Information
- Medication Flow Sheet
- Acknowledgment of Receipt of Notice of Privacy Practices
All those forms are also accesible through our forms page
Dr. Wells maintains staff privileges at these hospitals:
- Baptist Medical Center of Jacksonville
- Wolfson Children's Hospital of Jacksonville
- Baptist Medical Center South Hospital of Jacksonville
- St. Luke's Hospital of Jacksonville
- Memorial Hospital of Jacksonville
- Shands Hospital of Jacksonville
- Flagler Hospital of St. Augustine
Outpatient care is also available at each of these facilities and at selected, free-standing surgicenters.
Should you have any questions after your procedure was performed, or need to get in touch with our offices after hours, please call us at 904.296.2226 or 904.797.7111. Our patients outside the Duval and St. Johns County calling areas may use our toll free number, 800.379.3557. Your call will be returned as soon as possible.
