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Bridgeport/Trumbull Line

Stratford

Bridgeport/Trumbull Line & Stratford

New Patient Forms

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.

If you need any help filling in any of these forms, or if you have a question about your appointment, call today at 203-916-9348 for Bridgeport/Trumbull Line or 203-212-8259 for Stratford. You can also use our convenient online form to contact either location.

1 – Registration
2 – Dental History
3 – Medical History
4 – Acknowledgement of Receipt of Privacy Practices Notice
5 – Written Financial Policy
6 – 24 Hour Cancelation and Photo Release Form

Give us a call to schedule your appointment

Bridgeport/Trumbull Line
4131 Main St, Bridgeport, CT 06606

Call Today 203-916-9348

Stratford
3638 Main Street, Stratford, CT 06614

Call Today 203-212-8259

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