Luna Dental

Dr. Noah Mustafa

HOW VIRTUAL CONSULT WORKS

Fill this form. Upload a close-up smile selfie. This is also an opportunity to share any concerns or desires you have regarding your smile.

Your dentist will send you a customized video addressing your questions and concerns. This video will also contain your unique, personalized recommendations.

Once you’ve recieved your reccomendations, you can schedule an in-person visit with the dentist.

Let's Get Started


PATIENT FORMS

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Please click the button below to access your online Patient Portal account to fill out all patient forms & documents.

If you are a new patient and need to create an online account with us, please click the button below and follow the steps to create a new online account in our Patient Portal.

Patient Portal

If you are unable to access the online Patient Portal before your appointment, please print and fill out the medical & dental history forms below to bring with you:

Medical History Forms – PDF Download

Dental History Forms – PDF Download

Hippa, Confidential, Privacy

Hippa Form – PDF Download

Confidential Form – PDF Download

Privacy Form – PDF Download

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