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.
- Patient Registration & Health History Form [PDF]
- HIPAA Acknowledgement Form [PDF]
- HIPAA Notice Form [PDF]
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.