Patient Forms

We are excited to meet you and your child at the new patient visit!

Please feel free to print, fill out, and bring the following forms with you to your child’s first appointment:

Click each thumbnail to download the PDF printable version of these forms.

About Us

At Galleria Pediatric Dentistry, your children’s well-being is our top priority. We treat them with the same care and attention as if they were our own. We make it a priority to build personal connections with every child, ensuring they are at ease and comfortable throughout their treatment.

Our Office

Our office is designed to create an inviting and comfortable environment for young children who may be getting familiar with visiting a dentist, many for the first time.

Location & Hours

731 Mall Ring Circle #101
Henderson, NV 89014
Phone: (702) 734-5333

Mon-Fri: 7 AM – 4 PM
Sat-Sun: Closed

Galleria pediatric-dentistry office- outside view
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