New Patient

Save Time At Dr. Gary Kijanka's Dental Office By Filling Out Our Patient Forms Online 
New Patient Welcome Your Dentist in Palm Beach Gardens
Contact Us Today! 561-776-3116
If you are a new patient to our office, the forms below will need to filled out when you arrive for your first appointment in our dental Palm Beach Gardens general & cosmetic dental office. 

Printing them, filling them out and bringing them with you will allow us to attend to your dental needs more quickly than completing them on your arrival.  

Thank you and please call our dental office at 561-776-3116 if you have any questions or need any assistance.   

New Patient Registration Form (coming soon)


10333 N. Millitary Trail Suite B
Palm Beach Gardens FL, 33410 

Phone: (561) 77-3116

Office Hours 

Monday through Thursday: 8:30 am – 5 pm

New Patient Forms Online Palm Beach Gardens

DR. GARY KIJANKA, D.M.D.  10333 Northlake Blvd  Palm Beach Gardens, FL 33410    Phone: (561) 77-3116  Office Hours   Monday through Thursday: 8:30 am – 5 pm

Subpages (1): Dental Appointment