New Patient Information


Welcome to Eustis Lakeside Dental! We are looking forward to seeing you in the office. Before your visit, in order to expedite things, we ask that all new patients complete our New Patient Forms. Please print, sign, and bring the forms with you to your visit. Give our office a call if you have any questions. Thank you!

New Patient Form - Adult

New Patient Form - Child

New Patients, please arrive 15 minutes prior to your scheduled appointment to fill out the new patient paperwork.
Thank you!


Eustis Lakeside Dental is an unrestricted dental care provider. This means our doctors evaluate patient treatment needs based on best patient outcomes and can use materials that are clinically shown to be biocompatible.

We are not an in-network insurance provider for any insurance company, but we welcome patients on PPO plans. We are happy to file your claims and follow up with any supportive treatment documentation.

If you have an up coming appointment, please send a copy of your PPO dental insurance card (front and back) to admin@eustislakesidedental.com.

This will allow us to verify it for you, and put information into our system before your appointment.


Remember, good dental health can prevent you from complex dental issues, such as fillings, root canals, and dentures. Come see Doctor Young at Eustis Lakeside Dental for your preventive care needs.

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