accessibility ACCESSIBILITY


Call 631-821-3838

Please Click on the links below to fill out your forms prior to your appointment.

They can be filled out online and submitted through our secure server.

All signature sections will be signed in person at time of appointment.

Thank You!

Registration Form

Medical History


No Show/Late

Financial Agreement

Signature on File







Smile With Confidence

As dental professionals it is our priority to provide quality dental care you can trust.