Patient Forms

To continue making your dental experience pleasant, we have conveniently provided our dental forms below, so that you can fill them out in the comfort of your home and bring them into the office with you.

To download a form, click on the link of your prefered language:

  Patient Registration   |     Spanish Patient Form

  COVID-19 Patient Consent Form

The American Dental Plan

A plan that makes dentistry affordable!
Dental treatment about 50% below prevailing fees N.Y. dentists charge.

Learn More

Have An
Emergency?

Call 1-800-44-SMILE or find the closest location.

Emergency Care