825 South US Highway 1, Suite 250 Jupiter, FL 33477

Tel: 561-744-6121
Fax: 561-401-9367

Patient Forms, Map and Directions to Jupiter Office

new_patientDr. Lein, his associates and staff, welcome you as a new patient to the practice. As a new patient, there are a number of forms that you will initially have to fill out. For your convenience, please click the New Patient Forms link below to fill out the online new patient form.

Our office accepts most insurance plans and offers several different payment options on the Insurance/Financing page.

 


Patient Forms and Login

Please fill out the online new patient forms so we can expedite your first visit.
>> New Patient Forms

>> Patient Login

 

To have digital X-rays sent to our office please request the images to be emailed to bruceleindds@gmail.com

 

No dental insurance? No problem! We offer a VIP DISCOUNT PROGRAM. Patients may purchase our VIP Discount Program in advance or at their dental appointment. The benefits of the VIP Discount Program take immediate effect!

>> Download the VIP membership form

 

Don’t forget to return to our website to review your experience! We take pride in patient satisfaction! We want to hear about your experience! We love patient feedback!

 

In order to view or print these forms you will need Adobe Acrobat Reader installed. Click here to download it.

 


Driving Directions

Right next to the YumYum Tree, a half a mile south on Indiantown Road, on US1, on the east side of the road, in the Wells Fargo building.