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Completing your forms before you arrive means your appointment starts on time instead of in the waiting room with a clipboard.

What you will need to provide

  • Contact and emergency contact details
  • Complete medical history — conditions, surgeries, allergies
  • All current medications, including over-the-counter drugs and supplements. This genuinely matters: blood thinners, bisphosphonates, and several common supplements affect how we plan treatment and sedation
  • Insurance information, if applicable
  • Consent and privacy acknowledgements

How to submit them

Bring the completed forms to your appointment, or contact the office to ask about sending them ahead. Eastchester (914) 268-0020 · Bronx (718) 597-6500.

Transferring from another dentist?

Ask your previous office to forward recent x-rays and records. It avoids repeat imaging and gives us your history rather than a snapshot.

Next: request an appointment, or check insurance and payment options first.

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