New Patient Appointment Forms

New Patient Form
Payment Policy

Consultations

Your initial appointment will consist of a consultation explaining your dental diagnosis, treatment plan, and financial options. Occasionally, treatment can be done the same day as the consultation. However, a complex medical history and/or an extensive treatment plan will require an evaluation and, perhaps, a second appointment to provide treatment on a future visit.

Please assist us by providing the following information at the time of your consultation:

  • Your referral slip and any x-rays, if applicable.
  • A list of medications you are currently taking.
  • If you have medical or dental insurance, bring the necessary cards/completed forms.

IMPORTANT:
All patients under the age of 18 must be accompanied by a parent or guardian at the consultation visit. Please alert the office if you have a medical condition that may be of concern prior to surgery (i.e. diabetes, high blood pressure, artificial heart valves and joints, rheumatic fever, etc.) or if you are on any medication (i.e., heart medications, aspirin, anticoagulant therapy, etc.).

X-Rays
If your dentist or physician has taken x-rays, you may request they forward them to our office. If there is not enough time, please pick them up and bring to our office. If additional films are necessary, they can be taken at our facility.

North Brunswick, NJ Office

746 Livingston Avenue
North Brunswick, NJ 08902
Phone: (732) 846-8383
Fax: (732) 846-8395

Schedule Online

Edison, NJ Office

495 Plainfield Avenue
Edison, NJ 08817
Phone: (732) 985-1400
Fax: (732) 985-1955

Schedule Online

Somerset, NJ Office

1323 Rt 27
Somerset, NJ 08873
Phone: (732) 249-0411
Fax: (732) 249-0611

Schedule Online