Dr. Jason Bortolussi is an aesthetic dentist committed to
creating beautiful smiles
Come take a tour of Dr.Bortolussi’s Office and Facilities.

We ask that you complete the patient registration, medical and dental history forms, before your visit.

Form Download

Fill out the online Medical History and submit your comments.
OR

Medical History

Please advise us in the future of any change in your medical history or
any medications you may be taking.

Personal Information

List all medications, supplements, and or vitamins taken within the last two years