New Patient Info at Port Washington Dental
Patient Forms
Because we respect your time, we've made our Port Washington Dental
New Patient Information Forms available on this site.
By reading this information, completing our New Patient Forms in advance and printing them out to bring with you, you'll save time during your first visit.
Please don't hesitate to call us if you have any additional questions. You are always treated like close friends and family when you are in our dental office.
Please print and complete the following form(s) prior to your first visit:
New Patient Forms :
HIPAA Forms:
Patient Acknowledgement of Receipt
Insurance Information Forms:
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Meet Tricia - Treatment Coordinator
"Starting out as a clinical dental assistant in 2000 provides me the understanding to easily help our patients plan and schedule their dental treatment. My goal is to make sure that you are absolutely satisfied with all aspects of your dental care."