FORMS For your convenience, please fill these forms out prior to your appointment. If you are using insurance, we ask that we have all of your insurance information 48 hrs in advance to be able to verify your benefits. NEW PATIENT FORMS No Insurance? No Problem! Check out the Tomasik Dental Membership Plan. MEMBERSHIP PLAN Schedule An Appointment NAME* EMAIL* PHONE NUMBER*WHAT TIME USUALLY WORKS BETTER FOR YOU? CHECK ALL THAT APPLY.* Morning Afternoon MESSAGE*CAPTCHAPhoneThis field is for validation purposes and should be left unchanged.