Our Practice
Procedures
Frequently Asked Questions
Payment Options
New Patient Reg. Forms
Ask Dr. Ro
Directions to Office

Home

1600 Deo Dara Drive, Suite 1
Birmingham, AL 35226

Tel (205) 822-8155
Fax (205) 822-8085

Office Hours
Monday ,Wednesday 11-7
Tuesday, Friday 8-3
 
 
Saturdays by appointment only

 

 

Online Forms

The following Information/Registration form is provided as a courtesy and convenience to our new patients.

To expedite your new patient visit to our office, you may download the New Patient Registration form here. Please provide as much information as possible.

Please bring the completed form with you when you come for your appointment.
If you have any questions, please call the office at (205) 822 8155.

CLICK HERE FOR FORM

The New Patient Registration Form requires the Acrobat Reader plug-in. Click the button below to download your free reader.

Download Free Acrobat Reader Plug-In

 

Copyright © 2007 Bright Dental Center. All Rights Reserved..