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Coast Dental

New Patients

What to Expect on Your First Visit

We want every dental visit to be a great experience, starting with your first one.

Please arrive 15 minutes prior to your scheduled appointment and plan to spend between 60 - 90 minutes in our office. You will receive a comprehensive oral examination and x-rays to help your dentist assess your oral health. Your dentist will look for signs of:

What to Bring

To save time, please bring with you:

  1. dental insurance card, if applicable
  2. photo ID card
  3. completed new patient forms

New Patient Forms

We will need information about you to get started. Please download and complete the three forms below and bring them to your first visit. If you are not able to complete these forms prior to your first visit, please arrive 30 minutes before your scheduled appointment.
PDF Document Medical History
PDF Document Patient Financial Agreement
PDF Document Privacy Policy ( English ) ( Spanish )
PDF Document Acknowledgment of Privacy Policy

Your Treatment Plan

Your dentist will customize a personal treatment plan for you based on the clinical findings of your initial examination. It will specify the type of cleaning and additional visits you need and include recommendations for home care products. Your dental team will review your treatment plan options and begin treatment after obtaining your consent.

Types of Cleanings

Other Dental Procedures

Frequently Asked Questions

Cancellation Policy

We set aside dedicated time in our office for your dental appointment. If you find it necessary to cancel, please provide 24-hour advance notice. Without proper notice, you may be charged a $25 fee.

*FREE New Patient Exams & X-Rays. ADA D0150/D0210/0096. Save $262. Expires 03/31/2019. For new patients without insurance, Medicare, Medicaid, TRICARE, or a discount dental plan. Offer does not include panoramic x-ray which may be required (D0330/$23). Offer may be combined with other offers for which the patient is eligible. Minimum fee only. Fee may vary with complexity of case. ADDITIONAL CHARGES MAY BE INCURRED FOR RELATED SERVICES WHICH MAY BE REQUIRED IN INDIVIDUAL CASES. (FL PATIENTS ONLY - THE PATIENT AND ANY OTHER PERSON RESPONSIBLE FOR PAYMENT HAS A RIGHT TO REFUSE TO PAY, CANCEL PAYMENT, OR BE REIMBURSED FOR PAYMENT FOR ANY OTHER SERVICE, EXAMINATION, OR TREATMENT THAT IS PERFORMED AS A RESULT OF AND WITHIN 72 HOURS OF RESPONDING TO THE ADVERTISEMENT FOR THE FREE, DISCOUNTED FEE, OR REDUCED FEE SERVICE, EXAMINATION, OR TREATMENT.) The dentists and hygienists are employees or independent contractors of Coast Florida, P.A., Coast Dental, P.A., (Adam Diasti, DDS, DN12490), Coast Dental of Georgia, P.C., Coast Dental of South Georgia P.C., (Adam Diasti, DDS, DN11634), or Coast Dental of Texas, PC (Adam Diasti, DDS, Lic. 32327). Coast Dental Services, LLC complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. © 2017-2021 Coast Dental. All rights reserved. IS-200102

© 2023 Coast Dental. All rights reserved. Coast Dental and the Coast Dental logo are registered trademarks of COAST DENTAL SERVICES, LLC

†FREE. ADA D0150/00210/0096. $318 full price. Offer does not include panoramic x-ray (ADA D0330/$190) which may be required. For new patients without insurance or a discount dental plan. Free Professional Take-Home Teeth Whitening. ADV – Free Whitening Special – Marketing 2020. $25 value. DREVO. $140 full price. Free Revolation Toothbrush. ADV – WD REVOLATION. Offer limited to one per customer, while supplies last. Must schedule and show for an appointment at Coast Dental & Orthodontics. *Minimum fee only. Fee may vary with complexity of case. ADDITIONAL CHARGES MAY BE INCURRED FOR RELATED SERVICES WHICH MAY BE REQUIRED IN INDIVIDUAL CASES. (FL PATIENTS ONLY - THE PATIENT AND ANY OTHER PERSON RESPONSIBLE FOR PAYMENT HAS A RIGHT TO REFUSE TO PAY, CANCEL PAYMENT, OR BE REIMBURSED FOR PAYMENT FOR ANY OTHER SERVICE, EXAMINATION, OR TREATMENT THAT IS PERFORMED AS A RESULT OF AND WITHIN 72 HOURS OF RESPONDING TO THE ADVERTISEMENT FOR THE FREE, DISCOUNTED FEE, OR REDUCED FEE SERVICE, EXAMINATION, OR TREATMENT.) The dentists and hygienists are employees or independent contractors of Coast Florida, P.A., (Adam Diasti, DDS, DN12490), Coast Dental of Georgia, P.C., (Adam Diasti, DDS, DN11634) or Coast Dental of Texas, PC (Adam Diasti, DDS, Lic. 32327). Coast Dental Services, LLC complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. © 2023 Coast Dental. All rights reserved.