Patient Forms
Please complete these forms. You may print them and bring with you to your appointment OR complete, save to your desktop and email them to us at :
Wappingers Falls Patients
Download Patient Registration Form Packet
Poughkeepsie Patients
- New Patient Information
- Health History
- Dental History
- Financial Policy
- Acknowledgement of Receipt of Notice of Privacy Practices
For your reference only:
- Notice of Privacy Practices
- Cancellation Policy
- Financial Policy
Poughkeepsie Office Phone Number 845-473-4565“>Questions? Concerns? Give us a call! 845-473-4565