Patient Forms

Patient Forms

General & Cosmetic Dentistry in New Hartford, NY serving residents of Utica, NY

Please feel free to print and download these forms prior to your appointment for an easier intake process.

Thank you!

  1. New Patient Welcome Letter
  2. HIPPA Notice of Privacy Practices
  3. HIPPA Acknowledgement of Privacy Practices
  4. Patient Health History
  5. Dental Insurance Questionnaire