Patient Forms
Convenience is everything. Complete your paperwork before you arrive and spend your visit relaxing — not filling out forms.
Before Your Visit
Ready Before You Walk In
From our relaxing, spa-like atmosphere to our free consultations, we want to take the stress out of every part of your appointment — and that starts before you walk through the door.
1. Open the Form
Tap the button below to open our secure online patient form.
2. Submit Securely
Fill it out on any device and submit it directly to our office.
3. Relax & Enjoy
Arrive, grab an espresso and settle in — we’ll take it from there.
Secure Online Form
Complete Your Patient Form
Prefer paper? Call or text us and we’ll be happy to help.
Rappaport Dental · Jacksonville, FL
Need Help With Your Forms?
Call us at (904) 620-9225 or text (833) 223-2860 — our team is happy to walk you through anything.