New Patient Forms
Please print, and fill out the Patient Registration and HIPAA Forms prior to coming to our office; then bring it with you to your appointment. This will save you office waiting time.
Please do not forget if you unable to keep your scheduled appointment, kindly give 24 hours notice.
- Patient Information
- Notice Privacy Practice Acknowledgement
- Dental Treatment Consent Form
- Dental and Medical History
- HIPAA Form
Family Cosmetic & Implant Dentistry of Brooklyn
2148 Ocean Ave, Ste 401
Brooklyn, NY 11229
☎ (718) 339-8852