Patient Forms

Please print and fill out these forms so we expedite your first vist.

Please print and fill out the following form if you need copies of your dental records.

Please print and fill out the following form if you would like to have In-house Dental Benefits Plan.

DO NOT email your personal information!

You may fax in your completed forms to the New Paltz office (845) 244-3083

- Or -

Bring in your completed forms with your insurance card of the time of appointment.

 

Please do not submit any Protected Health Information (PHI).

Office Hours
Monday: 9:00 AM - 5:00 PM
Tuesday: By Appointment Only
Wednesday: 9:00 AM - 5:00 PM
Thursday: By Appointment Only
Friday: Closed
Saturday: Closed
Sunday: Closed

Click Below to See Individual Office Hours:

Woodstock Hours  by appointmetn only

New Paltz Hours   by appointment only