New Patient Information:
FORMS

We are pleased to welcome you to our dental practice, and we are happy that you chose us for your dental care. Your first visit will include an X-rays and an exam of the teeth and gums. We offer a comprehensive range of dental services designed to improve and maintain excellent oral health. 


Please bring your dental insurance information (card, employer, spouse, if primary holder). If you had a recent set of x-rays taken, you can request a copy from your previous dentist. 


If you are a new patient, please download and print the New Patient forms below and bring or email the completed forms to the office.  


If you are a patient of record or if there any changes in your personal information (Insurance, Address, Phone number) and/or if it's been more than 1 year since your previous visit please complete the pages that pertain to those changes and bring to the office or email prior to your visit.


If you are a patient of record and wish to have your x-rays sent to another office, please sign the Release form and return to the office. 

We accept many insurances as full or partial payment.
 If you don't see your company on the list below, please give us a call.

Extended payment options can be approved using CareCredit. See the link on the next page for more information and to apply.
1199 National Benefit Fund
Aetna PPO
Cigna Healthcare
Delta Dental 
GHI Dental
Guardian PPO
MetLife PPO
PBA
UFT/Cigna