Fill out the following forms and email to:

DMD Consent Form


Dental Medical History Form


Cohen Care Center for Dental Health
2480 Windy Hill Rd SE - Suite 202 - Marietta GA 30067 - Phone 770.272.0222 - Fax 770.272.0204

We accept: Visa, MC, AmEx and Discover, checks and cash - Most Dental Insurances Accepted