New Patient Forms

We are happy to offer our patient forms online. Please feel free to print and fill them out at your convenience before your visit.

New Patient Registration

Please download, print and complete this form before your first dental appointment.
Click here to download (66 KB)

Notice of Privacy Practices

This notice describes how health information about you may be used and disclosed and how you can get access to this information.
Click here to download (1.9 MB)

 
If you are unable to view the pdf files, please click on the icon below to download and install Adobe Reader:

Request Appointment

  • Monday
    Tuesday
    Wednesday
    Thursday

  • Morning
    Afternoon
    Early Evening

Our Office

Gabriel A Chamblin, DMD

6450 U.S. 90, Suite D
Spanish Fort, AL 36527
Map & Directions
 
Phone: (251) 626-7675
 

Office Hours*:
Monday8:00am-5:00pm
Tuesday 8:00am-5:00pm
Wednesday8:00am-5:00pm
Thursday9:00am-5:00pm


*By Appointment Only