The New Patient Experience

Experience you can trust

Compassion you can feel

Outcomes you can expect

New Patient Experience

New patient appointments take about an hour.

New patient experience timeline.

Before you arrive

We’re excited to welcome you as a new patient! Before your visit, we kindly ask that you bring your insurance card and a valid ID to make the check-in process seamless. If you have any previous dental records or x-rays, bringing them along can be helpful.

Arriving a few minutes early will allow time to complete any necessary paperwork and get settled before your appointment. If you prefer, you can also fill out the necessary paperwork in advance using the forms below.

New patient forms

It seems every business requires a bunch of paperwork these days, and unfortunately, dentistry is not an exception. To help make your first visit go more smoothly and quickly, you can download, print, and complete all of the necessary forms for all our new patients. You will need Adobe Reader to open and print these forms. Just make sure you bring them to your first visit.  Alternatively, you may fill in the forms, save them and attach them in an email sent to smile@dejesusdental.com.  We’d be happy to print them at the office for you.

Special Offers for the Month of November!

At both our Bridgeport/Trumbull Line and Shelton dental offices, we are dedicated to providing affordable dental treatments for you and your whole family. That’s why we are offering a few discounts to help you get the treatments you need.

Come back and check out our specials often because we change them out on a monthly basis.

emergency dental visit voucher

Registration form

Dental History

Medical History

Acknowledgment of Receipt of Privacy Practices Notice

Written Financial Policy

24 Hours Cancellation & Photo Release Form