Patient Forms

Call 813-229-8090

The first visit to our office is designed to get you better acquainted with all we have to offer as your dental provider. During this initial visit you will meet Dr. Leslie Ferrara and all of her devoted staff. Routinely, we reserve time to perform the necessary x-rays, which is often a full series of digital x-rays along with oral images of any suspicious areas. We offer a visual oral cancer screening (at no additional charge) although we urge all patients to take advantage of the latest technology for oral cancer detection, VELscope Vx, ($25 or paid by insurance). Typically, we are able to present all treatment recommendations, including hygiene care, at this initial visit. The frequency in which you would return, annually, to see your hygienist is contingent upon your periodontal condition, which will be fully explained during this visit. We encourage questions to further educate our patients and always do our best to deliver quality care and simplicity.

Please take a moment prior to your reservation with us to complete our New Patient Forms. We ask that you complete the below forms prior to arrival. This process streamlines and reduces your wait time. ALWAYS supply all Medical and Dental Insurance Updates as soon as possible to avoid an out of pocket expense. Please allow at least 90 minutes for your initial visit with us.

*annual updates obtained every 12 months
*Print out and then sign....Scan back to your desktop/file, then email completed form(s) to Contact@FerraraDentalTampa.Com


*Fill forms out - Print & Bring With You!

Medical History

Financial Policy

Patient Consent

!!!!Please do not fill out forms & attempt to download to your desktop, only a BLANK copy saves!!!!

Our 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.


When using a street meter, please visit so you may replenish your meter right from the dental chair! (this is a FREE app and requires a Smartphone along with vehicle tag information)

Our building offers valet. Valet is $3.50/hr & is CASH only. The entrance is off Tampa Street.

You may also use any of the SevenOneSeven lots throughout downtown Tampa or Fort Brooke Garage off Whiting Street.

Ferrara Dental, PLLC does not validate parking. Please allow ample time to locate parking to ensure a timely arrival for your reservation with us so we may provide the personal care you deserve.

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

Contact Us

We encourage you to contact us with any questions or comments you may have. Please call our office or use the quick contact form below.

Smile With Confidence

As dental professionals it is our priority to provide quality dental care you can trust.



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