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Forms

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-Dental Patient Screening form

     

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-HIPAA form

 

-Registration form

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-Financial Agreement form

     

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-Medical History New Patient form

 

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-Medical History Update form

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Staten Island

Brooklyn

Queens

Long Island

Manhattan

New Jersey

Westchester

and all Surrounding Areas!

We proudly serve patients in:

821 Clove Rd.

Staten Island, NY, 10310

718-448-0976

Hours of Operation

Monday: Closed

Tuesday: Scheduling by phone 

11:00 am - 5:00 pm

Wednesday: Scheduling by phone

11:00 am - 5:00 pm

Thursday: Treating Patients

10:00 am - 6:00 pm

Friday: Treating Patients

10:00 am - 6:00 pm

Saturday: Treating Patients

10:00 am - 6:00 pm

Sunday: Closed

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