Patient Forms


Access our patient forms here. Please complete your patient forms before your appointment.

PREFERRED Option: Complete your forms ONLINE!
And your forms will be submitted directly to our office.

NEW PATIENTS: Click HERE NEW PATIENT Forms Online

EXISTING PATIENTS: Click HERE EXISTING PATIENT Update Forms Online



LESS PREFERRED OPTION: PAPER (Print) Form 
Use this option to print out our forms on your computer,  fill them out at home, 
and bring them with you to your appointment

Click on EACH OF THE 5 FORMS below to print them out, fill them in, and bring them completed to your appointment:

If you have any questions--we are here to help! 505-455-2176


To make your appointment with Dr. Jorge Ferreira--the best dentist in Northern New Mexico:
call 505-455-2176
or 
go to the "For Patients" tab, and select "Appointment Request"
or
or use the "Contact Us" section below to send us an email requesting an appointment.

Don't wait until it hurts-Contact us Today!

Contact Us

Send Us an Email

Our Location

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Hours of Operation

Our Regular Schedule

Jorge Ferreira DMD LLC

Monday:

Closed

Tuesday:

9:00 AM-5:00 PM (appt only)

Wednesday:

8:30 AM-5:00 PM

Thursday:

8:30 AM-5:00 PM

Friday:

8:30 AM-5:00 PM

Saturday:

Closed

Sunday:

Closed