Patient Forms

Group 3476 4

You can save some time at your first visit by printing out and completing the patient forms in advance of your appointment.

ADA Patient Health History Form: [PDF]

Authorization to Release Patient Information: [PDF]

Clinic Registration Form (Fillable): [PDF]

Office Financial Policy: [PDF]

In order to view or print these forms you will need Adobe Acrobat Reader installed. Click here to download it.

In order to view or print these forms you will need Adobe Acrobat Reader installed. Click here to download it.

adobe

What Our Customer Say's

ahmand allen
ahmand allen
2024-04-25
I'm very happy with the treatment I received!!! They deserve 10 stars honestly!! I went for an appointment on a lot of pain and got my wisdom tooth pulled...Didn't even know it was out until they showed me!! Didn't have no pain at all!! My dentist and the assistant was phenomenal!!! ☺️ I felt safe and very cared about!! nothing but positivity since I walked in!!! recommended absolutely!!!!!
D Kawa
D Kawa
2024-04-13
I had a fantastic experience with Dr. Poorna Shah! Her expertise and professionalism immediately put me at ease. The office was clean and welcoming, and her staff were friendly and helpful. Dr. Shah took the time to listen to my concerns and provided thorough explanations throughout my appointment. I left feeling confident in her care and grateful for the excellent service. Highly recommended!
Jared Wallace
Jared Wallace
2024-04-11
Dentist and hygienist were both not only professional but also very friendly and caring. squeezed my fiancé in to do an emergency root canal and helped her out a lot. would highly recommend to anyone looking for a new dentist!
Emmanuel Thybault
Emmanuel Thybault
2024-01-11
Very friendly people I think I found the right one finally Gave me different options to go at and I like that.
Laura Seguin
Laura Seguin
2023-11-17
Very professional clean and they care about people and everyone's well being
vishal nayak
vishal nayak
2023-10-05
Brand new clinic , uses most advance equipment , friendly staff and most important..very hygienic service…

Hours of Operation

Monday

8:00 am - 7:00 pm

Tuesday

8:00 am - 7:00 pm

Wednesday

8:00 am - 7:00 pm

Thursday

8:00 am - 7:00 pm

Friday

8:00 am - 3:00 pm

Saturday

9:00 am - 1:00 pm
Appointments only

Sunday

Closed

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