Visit our G+ pages:

Bridgeport/Trumbull Line

Shelton

schedule an appointment
Bridgeport/Trumbull Line & Shelton

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