To schedule an appointment please call our office at 410-647-4269 or email

The Tooth Place
22 Truck House Rd. Suite 3
Severna Park, MD 21146

Business hours are:
Monday – Thursday: 8 a.m. – 5 p.m.
Friday: 8 a.m. – 2 p.m.
Saturday & Sunday: Closed


Please print and fill out the Consent form and Medical History form and bring them to the office at your first visit.

Consent Form
This form is an agreement and explanation of our privacy policies and requires a signature.
Consent Form – Date: 02 Nov 2015 | Size: 52 KB (PDF)

Patient Medical History
This form is to provide your medical history and must be completed and signed.
Patient Medical History – Date: 02 Nov 2015 | Size: 19 KB (Microsoft Word Document)

Office Policies
This document contains information about our office policies and requires a signature.
Office Policies – Date: 02 Nov 2015 | Size: 16 KB (Microsoft Word Document)

To view, complete, or print PDF forms you will need Adobe Acrobat Reader installed on your computer. This software can be downloaded at

Forms last updated 11-02-2015

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