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:

If you have an emergency, please call the office at (251) 626-7675

Request Appointment

  • Monday

  • Morning
    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*:
Tuesday 8:00am-5:00pm

*By Appointment Only