Patient Forms

Patient Forms for New or Returning Patients

We encourage you to complete your registration prior to your visit to our Marietta dentists if possible. If you are new to the practice, it is extremely helpful if you are able to have your previous dental office email or send any prior dental x-rays or pertinent information to us that we may need.

New Patient Registration

Patients Who are Minors:

Attendance by a parent or an arrangement with consent must be made in advance of the appointment. A parent cannot simply drop his or her child off at our Cobb dental office and expect care to be given. If you have a teenager who drives and will arrive separately to our office, please let us know ahead of time.


We expect you to take care of your balances at the time of your appointment. Our specialized software estimates what your insurance covers. We can work with you and contact your insurance company directly to collect payment from your insurance company.

Set up an appointment today for East Cobb dentistry services!

Your teeth and gums are important parts of your body. At East Cobb Family Dentistry, our team of Marietta dentists share your desire to achieve and keep beautiful teeth and gums — and an overall smile — for your lifetime.

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Our Happy Patients

"These pros have taken great care of our family for many years, and now they are like family. "

Tad Tad

"My family has been coming here for approx. 5 years. We have been very pleased with the service and professionalism of the staff. We never have been told we needed things we didn't and the cost for their services is very reasonable. I highly recommend the practice to anyone."

Mark Mark

"I had a wonderful experience at this office. The entire staff was friendly. The hygienist and Dr. Stewart made me feel comfortable during my visit. It's clear the office manager and her staff make customer service a priority. I love this office and will be returning for all of my future visits."

Ana Ana
We're here to help you get the perfect smile!
Have Questions? Call Us Now (770) 913-6800  OR   Schedule Your Visit!
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With a Dental Certified Specialist