COVID Informed Consent Form

Before you come in for your appointment with Dr. Miriam Nosrati, please fill out the COVID Informed Consent Form below:

  1. Download the form
  2. Sign electronically
  3. Email to our office: [email protected]

COVID Consent Form

Please contact New Image Dentistry, PC at 405-285-8880 today with any questions and to schedule an appointment with our dentist in Edmond, Oklahoma. We look forward to serving you and your smile!