5739 Canton Cove, Winter Springs, FL 32708-5079

Adopt-A-Patient
(407) 699-9831

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Request an appointment with Winter Springs FL Dentist Dr. Fay Collins

 

Patient Survey

Please take a moment to complete our survey.  Your comments are welcome and completely confidential. Your input will help us improve our service.  Thank you.

We appreciate you taking the time to complete our survey. Please feel free to comment on your visit as well. Any comments you choose to make are kept strictly confidential and can only help us become better in the future.

Patient Name (optional):
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Date of your last visit (optional):
How was the treatment you received :
How comfortable were you during the treatment you received :
Was your treatment explained to you so that you have a clear understanding of your dental situation :
Were your financial options explained to you? :
How long did you wait before being seated in a room?
Would you refer your friends and family to us? :
Please comment below on how we could make your next visit better and more comfortable.  Thank you.:


 
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New Patient Special
Exam, X-rays and Cleaning
Just $79 (savings of $259)

Simply complete the form provided and click "Submit" to send your information.

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Call the office now to set up your consultation (407) 699-9831.

This offer cannot be combined with any other offers.

ADA Codes 0150, 1110, 0330, 0274


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Free WiFi! Free WiFi available in our office!
Winter Springs Dentist · Collins Dental · 5739 Canton Cove · Winter Springs, FL · 32708
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