River City Dentistry

189 South Charles Richard Beall Blvd (US HWY 17-92), Suite 100, DeBary, FL

(386) 668-2181

Welcome to River City Dentistry's Digital Intake System


Here you can:

  - Complete your new patient packet online
(enhancing efficiency)
  - Update specific forms i.e. medical history, HIPAA, etc. (saving you time in the chair)
  - Pay billing statements balance or pre-pay/ budget treatment plan
  (convienently submit an online payment)

All forms are HIPAA/HiTECH compliant and for your protection and security, all of the information you enter will be encrypted using bank grade encryption.

Navigating away from this form system or allowing it to “Time Out” before clicking "Submit" will cause the dismissal of any entered data. After successful submission you will be redirected to a Confirmation/Thank you page.

By clicking continue you agree to Digital Intakes, LLC Terms and Conditions