New Patients

Please fill out the New Patient History form before your first visit!

Fruitland Family Dental is a full service family dental practice and we are now accepting new patients. Dr. Geary and his qualified staff provide exceptional dental care. Let us show you how we can give you the smile you’ve always wanted.
Click below to download new patient forms and a children's brushing chart.

• Notice of Privacy Policy

• Medical History

• Financial Policy

• New Patient History

• Kids Brushing Chart

The security of your personal information and our patient's information is important to Fruitland Family Dental. By submitting the form below, the transmission of that information is encrypted using secure socket layer technology (SSL).