Dental Office Patient Forms
The following forms can be downloaded to your computer and printed at home before you come in to our NYC dental office. By filling out these forms ahead of time, you will save significant time the day of your visit.
Dental Office Hours
Monday: 9:00 AM - 5:00 PM Tuesday: 9:00 AM - 5:00 PM Wednesday: 9:00 AM - 5:00 PM Thursday: 9:00 AM - 5:00 PM Friday: 9:00 AM - 5:00 PM Saturday: Closed Sunday: Closed
Dental Office Policies
To schedule an appointment, please call our dental office in NYC at at (212) 974-8737 or fill out our contact form. New patients are always welcomed. Our team will be pleased to assist you in any way possible and all efforts will be made to accommodate your schedule. Everyone at our dental office is at your service.
If you are unable to keep an appointment, we ask that you kindly provide us with at least 48 hours notice. This courtesy, on your part, will make it possible to give your appointment to another patient.
Our dental office provides on-call service for emergencies, 24 hours-a-day, 7 days-a-week. Call (212) 974-8737 and our team will be contacted immediately.
We accept all major credit cards, check and cash at our NYC dental office. Affordable, interest free monthly payment plans through CareCredit are available.
Things To Bring To Every Appointment:
1. Medical History Card
You can create a card on your computer or visit a website like MedIDs.com, which offers free templates that you can print out and laminate to keep in your wallet so that you’ll have it with you any time you visit out dental office. Also, in an emergency situation, most EMTs will look inside your wallet for your identification and any medical information you may carry.
Key information includes:
- Medical conditions
- Dates of past surgeries
- Current medications
- Emergency contact information
- Other doctors’ names & phone numbers
- Health insurance information
- Drug allergies
- Blood type
2. Changes To Your Medical Record
If you’ve had any new test results since your last visit to our dental office, bring that information with you, even if you believe your doctor has already seen the report(s). They will help your doctor have the most-complete picture of your health and reduce the need for additional testing. It will also remind you to review it face-to-face which is especially important if you’re seeing a new practitioner.
3. Prescription Drug Record
Many can’t remember the names of medications or how much they’re taking. Either write a list (check it twice), or gather and put all your medication in a zip-lock bag and take it with you. Tell your doctor if you’ve stopped taking any or haven’t followed dosage instructions.
Be honest. If you mislead doctors about prescription compliance, they may assume your medications are not working, which could lead to dangerous or unnecessary adjustments.
4. List Of Alternative Therapies
Let your doctor know if you’re taking/using any alternative medicine, vitamins, or herbal remedies.
5. Journal Of Symptoms
Keep a journal that documents your symptoms and note how they affect your daily life.
6. List Of Questions
Seeing the doctor can make you nervous and you can forget the question(s) you wanted to ask. Write them down ahead of time so you don’t leave the dental office without asking them and getting the answers you need.
7. Notebook And Pen
Take notes throughout your visit. If there’s anything you don’t understand, don’t hesitate to ask your doctor for clarification.
8. Friend Or Family Member
Having someone with you can provide crucial moral support. They can remind you of your primary question and concerns and help take notes.
Our dental office newsletter is created to help improve our patients’ dental health and awareness. Notify us with your address if you would like to be included in our mailing list.