Patient Forms

We utilize a 'touch-free' check-in and billing process. We will need your email address in order for us to provide you access to the Patient Portal System (complete forms online, email receipts, receive appointment reminders, etc.).

New patients, please click on the link below to Patient Portal, then upon login you will be prompted to contact our office. Please call us (727) 321-1427 and we can send you an invitation email to the Patient Portal. Once you have logged in, click on ‘Go to my forms’ then, complete and sign any required forms before you arrive. If this is not possible, you will need to arrive 15 minutes early to fill out the forms through our Kiosk.  Email or call us if you have any questions.

We look forward to meeting you!!!


Office Number: (727) 321-1427

Please access your patient portal by clicking on the link below.

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Jeffery Spilman, DDS
4899 5th Ave N
St. Petersburg, FL 33713
(727) 321-1427
Saturday hours and Emergency
Same-Day Appointments Available