New Patients

Patient Forms, Map and Directions to Venice Office

Our team eagerly looks forward to your first visit as it will establish a vital foundation for our relationship. To understand what to expect, please read through this page. You will also find all the practical information you need, such as a map and directions to our office, practice hours, payment policies and more. There's also background information about our committed team and our first visit procedures. 

So we can better get to know you on your first visit to Dr. Jernigan's office you will notice a few special steps taken.

Your clinical examination is designed to gather important information that will aid us in assessing your dental condition and developing your proper diagnosis. It will include:

  • intra and extra oral cancer screening
  • a thorough charting of your dentition
  • examination for decay
  • evaluation of existing dental restorations
  • a thorough periodontal (gum) examination with measurements of periodontal pockets and tooth mobility
  • examination of your occlusion (how your teeth function and fit together)
  • study models when indicated
  • digital x-rays
  • intra oral photographs

This important appointment is scheduled for 60 minutes and if a consultation is needed it will be scheduled at this appointment. During your consultation appointment financial expectations and consent for treatment will be discussed. 

Some patients will experience dental conditions of an emergency nature. A true dental emergency is a broken front tooth, dental trauma, pain (not easing with Tylenol or Advil), swelling, or bleeding. We strive to promptly attend to these situations. Please call our office to arrange the appropriate appointment so we may address your needs. Necessary x-rays and clinical exam will be preformed to properly diagnose your condition. Treatment to alleviate discomfort will be rendered.

Mission Statement

Our mission is to provide the highest quality education and care to our patients and the community which we serve. Only through excellence in dentistry, coupled with high, openly shared values and quality relationships among staff and patients can we achieve a positive enduring contribution to the oral health and happiness of those we contact.

Patient Forms

Please click on the link below to expedite your first visit:

If you are having trouble with the Portal, please contact one of our business assistants and we will make arrangements to help you in the office prior to your appointment.

In order to view or print these forms you will need Adobe Acrobat Reader installed. Click here to download it.

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Hours of Operation

Our Regular Schedule


8:00 am-4:00 pm


8:00 am-4:00 pm


8:00 am-4:00 pm


8:00 am-4:00 pm


By Appointment Only