Bridgeport/Trumbull Line 203-372-1220or Shelton 203-378-9737

New Patients

WE’RE TAKING NEW PATIENTS

IF YOU’RE LOOKING FOR A DENTIST, WE’RE TAKING NEW PATIENTS

If you are looking for a new dentist for you or your family, the dentists and teams at DeJesus Dental Group offer a wide range of treatments under one roof. Whether you just need an exam or more involved treatments such as dental implants or full-mouth reconstructions, we can help you enjoy a healthy, beautiful smile. We have two locations: Bridgeport/Trumbull Line and Shelton. And if you are a new patient, you can download the new patient forms to make your first visit go a bit faster. 

COMING FOR YOUR FIRST VISIT? DOWNLOAD 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.

 Registration Form

 Dental History

 Medical History

 Acknowledgment of Receipt of Privacy Practices Notice

 Written Financial Policy

 24 Hours Cancelation and Photo Release Form

If you have any questions about how we can help improve your dental health, or if you are ready to schedule your next appointment, call today at 203-372-1220 for Bridgeport/Trumbull Line or 203-378-9737 for Shelton. You can also use our convenient online form to contact either location.

What Are You Waiting For?

BRIDGEPORT/TRUMBULL LINE

4131 MAIN ST, BRIDGEPORT, CT 06606

SHELTON

770 RIVER RD SHELTON, CT 06484

DeJesus Dental Group

4131 Main St | Bridgeport, CT 06606

770 River Rd | Shelton, CT 06484

© 2020 DeJesus Dental Group. All Rights Reserved.

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