We have created the below online forms for your convenience. Please complete the information on the forms and submit them so that we can be ready with your information when you come in for your appointments. We are looking forward to meeting you with your dental needs!COVID-19 Screening Form
Patient Registration Form
Scott and Derry Dental Care - Dr. Jameela Jifri
If you are looking for a dentist facility where your entire family can get treated with the same professional care, Scott and Derry dental care is the one for you. We provide a comfortable environment for patients of all ages and backgrounds to get treated for dental related issues. With up to date technology and the latest equipment, we assure the best quality services from our skilled team of dentists led by Dr.Jameela Jifri. Our services range from preventive, general, hygiene, restorative dental treatments and cosmetic enhancements to dental surgeries. As we value your convenience we offer flexible appointment schedules with weekends and late-night appointment time and easy locations with free parking facilities. Dental facilities are designed with free Wi-Fi, a clean environment and a classy ambience to help patients relax and feel comfortable at all times. All treatments are catered to each patient's unique conditions and needs including their lifestyle and budget. Our staff consists of professional individuals who are passionate about helping people lead a healthier happy life and they are ready to guide you throughout the process with any help needed.