Online Forms

Dental Patient Registration Forms

Please use our send an email or call our office at Wayne Office Phone Number 610-971-0717 and we will be happy to mail you our new Patient Information packet. Filling out these forms before your first appointment will save you wait time in the office.

Technical Note

These forms are in PDF format. If you do not have Adobe Reader installed on your computer, you may download Acrobat Reader for free and use it to access these forms.

About Dental Implants

Dental implants are designed to provide a foundation for the replacement of teeth that look, feel, and function like natural teeth. They also help prevent bone deterioration that occurs when teeth are missing.

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About Periodontal Disease

Periodontal (gum) diseases are infections of the gums that gradually destroy the support of your natural teeth. Dental plaque is the primary cause of periodontal (gum) disease in most people.

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About Cosmetic Dentistry

Today's advanced techniques and materials make a real difference. The skill, experience, and commitment of our practice — using a unique combination of science and artistry — can literally redesign your smile.