Patient Forms
If you are a new patient to our office, the attached file contains our new patient bundle with forms that will need to be filled out when you arrive at our office. Printing them, filling them out and bringing them with you will allow us to attend to your medical needs more quickly than completing them on your arrival. Thank you and please call our office if you have any questions at all.
Patient Forms (Print & Complete All Forms Prior To First Office Visit)
Patient Information Form
Health History Form
Notice Regarding Appointments
Guarantee of Payment
This web site uses files in Adobe Acrobat Portable Document Format (pdf) which require Adobe® Acrobat® Reader for viewing and printing. It is available to download free.
Ready to Get Started?
Quality professional team members that pride ourselves in furthering education to ensure you get the quality care you deserve.
Come See Us
Testimonials
"Dr. D is hands down the best dentist I have ever been to. He cares for his patients and there oral hygiene. I would recommend "
"Dr. DeFilippis and his staff are all 5 stars. they make going to the dentist so easy. Explanning what needs to be done, how it will be completed and what to might happen. A great place! They really care about you! "
"Great Staff Great Work Comfortable environment ... It's always a pleasure dealing with Dr. DeFilippis and his wonderful staff. From the call reminder to the actual appointment its absolutely comfortable. No complaints so far."
"The Hygienist was absolutely awesome! Very friendly, gentle and performed a superb cleaning job on my teeth that it made me feel that I had a brand new mouth. Thank you ever so much! "
Contact Us
We encourage you to contact us with any questions or comments you may have. Please call our office or use the quick contact form below.