Patient Forms

Complete your forms online before your visit to save time at the office.

Complete Your Patient Forms Online

Our secure patient portal lets you fill out all required forms digitally, from any device, before your appointment.

Open Patient Portal

Available Forms

All forms open securely through our online patient portal.

New Patients

New Patient Registration

Complete your personal information, medical history, and dental history before your first visit.

Open Form
Existing Patients

Health History Update

Returning patients: update your medical history, medications, and health changes since your last visit.

Open Form
Required

HIPAA Privacy Notice

Review and acknowledge our HIPAA privacy practices and how we protect your health information.

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Required

Financial Policy & Consent

Review our financial policies, insurance billing procedures, and treatment payment options.

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As Needed

Treatment Consent Forms

Procedure-specific consent forms will be provided by our team prior to your treatment.

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Scheduling

Appointment Request

Prefer a form? Request your appointment and we'll confirm your visit within 24 hours.

Open Form

What to Bring to Your Visit

  • Government-issued photo ID (driver's license or passport)
  • Insurance card(s) — primary and secondary if applicable
  • List of current medications and dosages
  • Any recent dental X-rays from previous providers
  • Payment method for copays or deductibles
  • Completed patient forms (or arrive 15 min early)

Questions About Your Forms?

Our front desk team is happy to walk you through the forms or answer any questions before your visit.

Enfield: 860-763-5522 Wethersfield: 860-430-4388

Schedule Your Visit Today

New patients welcome at both locations. We accept most major insurance plans.

Book an Appointment Or call: 860-763-5522