Patient Forms

Save Time At Your Appointment By Being Prepared

New Patient Forms

Prior to your first visit, we kindly ask that you please complete the new patient forms provided below. Please also provide the following additional information if you haven’t already done so. This ensures any concerns may be resolved before your appointment:

  • Your referral and any x-rays (if applicable)
  • A list of medications you are currently taking
  • Dental insurance information and medical insurance information (if applicable)

     

IMPORTANT: Appointments are limited to the patient only unless a companion is essential. All patients under the age of 18 must be accompanied by one parent or guardian.

person in blue striped sweater filling out paperwork

Staff at Exchange Dental Group

The Exchange Dental Group

The Exchange Dental Group delivers complete dental care under one roof, combining advanced technology with a team of experienced professionals and a commitment to patient comfort. With over 1,100 five-star reviews and a reputation for excellence, we are proud to be a trusted choice in New York City.

Our team is affiliated with respected organizations, including:

  • American Dental Association
  • Academy of General Dentistry 
  • American Academy of Cosmetic Dentistry
  • International Congress of Oral Implantology
  • New Jersey Dental Association 

Book a consultation with our dedicated team and experience full-service dentistry in one convenient location. Use our online form or call our office in New York, NY, at (212) 422-9229.
 

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