At your first visit at Agape Dental Clinic, please bring a list of the medications (and dosages) you are taking so that our doctor can avoid to use anything in the dental treatment which might be affected by those medication.

The following exams will be performed by one of our doctors to overview your dental condition:

  • Full series of x-rays
  • Oral exam
  • Periodontal charting (gum measurements and exam)
  • Oral cancer screening

If you have any question, please give us a call or visit the FAQ section for the details.


Prior to your first appointment, please fill out these forms online or print them out with you.

Adult New Patient form

kids New Patient form

Financial Agreement

Arbitration Agreement 

To view and print the form you will need Adobe Acrobat Reader.  If you do not have Adobe Acrobat, please click here to download it for free to your computer.