Patient Forms

Call 813-229-8090

Those of you returning to see us, please log in to review and/or complete necessary medical forms. Annual Medical History Forms should be reviewed and updated as the portal indicates or when you know a significant change has occurred with your health. You will be able to gain access to this portal 24 hours a day. 

You may place your request by clicking on the Patient Portal to Register Now, then click the Sign Up tab.  Ask a team member if you have further questions.

Patient Portal Access (Username & Password Required) New  Patients- please scroll down further for access. 

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 with our doctor, one of our three hygienists, and members of our dedicated support team. 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 the entire mouth, especially any suspicious areas. We offer a visual oral cancer screening to all patients, at no additional charge, although we urge each patient to take advantage of the latest technology for oral cancer detection, which is called VELScope VX. The VELScope VX screening cost is as low as $35, which is commonly not a covered benefit via dental insurance, unless you are over the age of 40. 

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. The periodontal screening and its findings, 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 in such a complicated field.

Please take a moment, prior to your reservation, to tell us a bit about yourself and complete your health history. For this process, we ask that you click the link below and complete all four forms. This process streamlines and reduces your wait time. Please allow a minimum of 90 minutes for your initial visit with us. 

So we may supply you with the most accurate information, we request that each patient supply their medical and dental insurance cards and any necessary updates, as soon as possible, to avoid an out of pocket expense. We strive to complete insurance verification, at no additional charge. This task is handled one week prior to a reserved visit. If benefits are unable to be verified prior to patient arrival, anticipated costs would be out-of-pocket. To avoid this out-of-pocket expense, please supply all new or changed dental benefit information as soon it becomes available

New Patient Journey (1st Time Online Medical Forms & All New Patients)

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.

Insurance Information:

Please provide a few items in advance of your visit if you wish for our office to help with your insurance needs. You may email, text, or fax them to us - New Patient Visits default to a one-time fee of $199 for those plans we are unable to verify or obtain benefits for. This fee includes the advanced oral cancer screening, the comprehensive examination, and all necessary imaging. We will inform you prior to your visit if this becomes the case. Please be sure to provide insurance information at least 5+ days prior to your visit to avoid an unnecessary out-of-pocket expense. Basic dental coverage information we will need from you. 

1.  Front and Back of Insurance Cards (Dental, for sure; Medical, if you like)
         a.  Must include: Plan or Group Number, ID or Member Number, and Insurance phone number
2.  Name of the Policyholder/Subscriber (you, mom/dad, or husband/wife/partner, etc.)
3.  DOB (Date of Birth) of the Policyholder/Subscriber (you, mom/dad, or husband/wife/partner, etc.)
4.  Home Zip Code of Policyholder/Subscriber
5.  Patient Name and DOB if different than Policyholder/Subscriber

Parking Options:

When using metered street parking, please visit or download the ParkMobile app so you  can pay right from your vehicle and replenish the meter right from the dental chair! (this is a FREE app and requires a Smartphone along with vehicle information)

Fifth Third offers valet for all of it's tenants and their guests. Valet is $5.00/hr and they accept CASH or CREDIT. Fifth Third's valet parking entrance is on Tampa Street, between Kennedy Blvd and Jackson Street, directly across the street from Bank of America. 

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

Ferrara Dental, PLLC does not validate parking at this time. 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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