New Patients
Patient Forms
Save time at your first visit — download, print and complete your new patient forms ahead of time.
Before Your Visit
New Patient Forms
Please download and complete the forms below and bring them to your appointment. Prefer to fill them out in the office? Arrive about 15 minutes early and we’ll help you get started.
Medical History (Part 1)
Your health and medical background.
Download PDF →Medical History (Part 2)
Continued health history questionnaire.
Download PDF →Insurance Information
Your dental insurance details.
Download PDF →Payment Policy
Our financial and payment policy.
Download PDF →Notice of Privacy Practices
How we protect your information.
Download PDF →Protected Health Information
HIPAA acknowledgement form.
Download PDF → What to bring: your completed forms, a photo ID, your dental insurance card,
and a list of any medications you take. We accept most PPO plans, select insurance plans and
Medicaid, with CareCredit financing available. Questions? Call
(610) 384-6700.
Proudly Local
Serving Thorndale & Chester County
Welcoming new patients from Thorndale and across Chester County.
Thorndale Downingtown Exton Coatesville West Chester Malvern Paoli Atglen Broomall Gap Honey Brook Elverson