Patient Forms

Save some time at the office and do your paperwork from home.

Patient Forms

To help us provide you with the highest quality of service we ask all that all new patients share their dental health history with us.

 

We offer several different ways to fill out the necessary paperwork, several of which you will find directly below.  You can either fill out the form at the office when you arrive for you appointment, submit the form securely online or if you prefer download the form, fill it out and then bring them with you to the office.

If you have questions about the form or about your visit please feel free to contact us or call us at (203) 883-4433.

Secure Online Form for Kids

We have the option to share your child’s health history with us by filling out our secure online forms.
When you book your appointment you will be sent a link. Check your texts and/or email (it may be in spam)

If you did not receive it please call us.

Call (203) 883-4433
Downloadable Form for Kids

Save time,  download the form at home, print it, fill it out and bring it with you.

Download
Secure Online Form for Adults

We have the option to share your health history with us by filling out our secure online forms.
When you book your appointment you will be sent a link. Check your texts and/or email (it may be in spam)

If you did not receive it please call us.

Call us (203) 883-4433
Downloadable Form for Adults

Save time,  download the form at home, print it, fill it out and bring it with you.

Download

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