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New patients to our office


Thank you for choosing our dental office for your dental care needs. If at any time, you have any questions regarding your dental care or treatment options, please feel free to contact us, we would be happy to discuss your concerns with you. It is our privilege to serve you and to provide you with our best possible care. Thank you again for selecting us!

 

New patient forms

(PDF format)

Welcome to the office/patient registration

Medical History Page 1

Medical History Page 2

HIPAA Privacy Policy

HIPAA Consent Form

 Records Request Form

All 6 forms in a single download

Call Dr. Maloney
518-782-9015