Patient Information for Visiting Your West Melbourne Dentist

Here at the office of Dr. John Bailey we like to make things as easy for you as possible. That is why we have included the information below. Clicking "Patient Login" gives you access to your Patient Portal, where you're able to pay your bills and access any medical information within your account. We've also added all of our forms below for you to print and fill out and bring in with you for your next visit. Doing this ensures a smoother check in and a shortened wait time. We look forward to seeing you!

 

 

Patient Login 

 

New Patient Questionnaires

 

New Patient Health History Forms

 

Existing Patient Health History Forms

 

Happy Smile Prevention Plan

Appointment request
Need an appointment with a dentist in West Melbourne ? Requesting an appointment at our West Melbourne, FL family and cosmetic dental office is now easier than ever. Fill out the form below and we'll contact you to find a time that fits your schedule. Start your journey towards a beautiful smile with us today!
Patient Name*
Phone Number*
Email Address
Are you a current patient?
Best time(s) to call?
Preferred Appt Date
Preferred Appt Time
Message
Describe the nature of your appointment or any other comments