Mon-Fri: 9AM-6PM | Sat: 9AM-1PM

Patient Forms

Download and complete forms before your visit

Streamline Your First Visit

We've made your registration process simple and convenient. Download and complete these forms at your own pace before your appointment, allowing us to focus on your care when you arrive.

Save 15-20 minutes at your appointment
Complete forms at your convenience
Ensure accuracy with no rush

Available Forms

Click to download each form as a PDF

Medical & Dental History

Comprehensive health information to help us provide safe, personalized care

  • Personal contact information
  • Insurance details
  • Complete medical history
  • Current medications
  • Dental concerns
2 pages - Print double-sided if possible
Download Medical Form

HIPAA Privacy Notice

Your privacy rights and how we protect your health information

  • Information protection policies
  • Your privacy rights
  • Information use guidelines
  • Disclosure procedures
  • Complaint process
Federal law requirement
Download HIPAA Form

Financial Terms

Clear understanding of payment policies and insurance procedures

  • Payment policies
  • Insurance claims process
  • Financing options
  • Appointment policies
  • Cancellation terms
Signature required
Download Financial Form

Simple Steps to Complete

1

Download

Click the buttons above to download PDF forms

2

Print

Print on standard 8.5" x 11" paper

3

Complete

Fill out all sections legibly

4

Sign

Sign where indicated

5

Bring

Bring completed forms to your visit

Helpful Tips

Take Your Time

Complete forms in a quiet environment where you can concentrate

Insurance Cards

Have your insurance cards handy while filling out forms

Medications List

Bring a complete list of current medications and dosages

Questions?

Call our office at 617-536-4020 if you need assistance

Can't Print at Home?

No problem! We have several convenient alternatives:

Arrive Early

Come 30 minutes before your appointment to complete forms in our office

Mail Service

Call us and we'll mail the forms to your home address

Digital Option

Complete forms on our tablet devices in the waiting area

System Requirements

To view and print PDF forms, you'll need Adobe Reader or any PDF viewer installed on your device. Adobe Reader is available as a free download from Adobe's website.

Forms Complete? Schedule Your Visit!

Once you've prepared your forms, you're ready to experience exceptional dental care.

Call US Request
Appointment