Patient Forms, Map and Directions to Lutz Office

Your first visit to Dental Care of Van Dyke involves a few special steps so that we can get to know you. To understand what to expect, please read through this page. You'll find all the practical information you need, such as a map and directions to our office, practice hours, payment policies and more. You can also save some time by printing out and completing the patient forms in advance of your appointment.

Our Mission

  • To provide the highest quality dental care possible to all of our patients.
  • Each patient deserves our focused attention and best efforts to make his or her experience on that stands far above the norm.
  • Our practice depends on the success of these efforts.

Patient Forms

Here at Dental Care of Van Dyke we want to ensure you have the best experience possible which if why we’ve made our forms available to you. If you’re a new patient you can save time by downloading and printing out our “New Patient Registration” form. If you need to transfer your dental records to us you can also download and print out the Hippa Form” below.

You can obtain the form two ways. Simply click on the button below and a new window will open with the form displayed , or you can “right click” on the button and choose “save link as” to download the forms to your computer.

In order to view or print these forms you will need Adobe Acrobat Reader installed. Click here to download it.


What To Expect

Being well-prepared for your appointment will ensure that the doctor has all of the needed information to provide the best possible care for you. It also will help relieve any unnecessary anxiety you may be feeling. Educate yourself on your symptoms by reviewing the content on this Web site. Also, take some time to review our meet the doc page and familiarize yourself with the doctor. We look forward to your first visit.


Driving Directions

Contact Us

Dental Care of Van Dyke

(813) 528-8701
18930 N. Dale Mabry Hwy Suite 102 Lutz, FL 33548