Welcome to our office!

Our staff is here to assist you!

How can we help you today?

A bevy of beautiful smiles

Insurance information from the ADA

Frequently asked questions

Other websites we recommend

We have many payment options!

Senior citizens are special!

Contact us by phone, mail or e-mail

 

 

Welcome New Patients!


Kindly print the first 4 forms and bring them to our office prior to your appointment.

 

1. Health History Forms    Page 1    Page 2

2. Dental Insurance Information Form

3. HIPAA Acknowledgement

4. HIPAA Consent Form  Designate people to have access to your information.

5.  Our Privacy Notice  Page 1    Page 2

6.  Transfer  your records to our office easily! 

7.  Keep your Credit Card on file for easy billing!

**All forms are in PDF format**

Download a free copy of Adobe Acrobat Reader®

 

6431 Kirkville Road, East Syracuse, NY 13057  **  Phone 315-463-5627  **  Fax 315-437-8342