Header

Patient Information and Forms

hr

From the day you join either of our Reading or Winchester MA offices, we will cater to your dental needs. As part of your first visit with us, you will fill out a comprehensive medical and dental history. These forms are important because they help us to determine the course of your treatment. We have to know about allergies, sensitivity to anesthetics, long-term medications, and other information.

For your convenience we've included these forms below. Click on the links to download and print out these forms at home, where you can fill them out at your leisure and bring them with you to your first visit.

Pediatric/Orthodontic New Patient Medical History
Privacy Notice
General (Adult) New Patient Information
Financial Policy
HIPPA
Release of Records
Late Policy

About Us | Pediatric Dentistry | Orthodontics | General Dentistry | Patient Info and Forms | My Account & Appointments | Contact Us

Pediatric Dental Associates, 955 Main St Ste 101, Winchester, MA 01890 (781) 729-1900 |
Group Practice at the Reading Health Center, 20 Pondmeadow Dr Ste 202, Reading, MA 01867 (781) 944-7799

© Copyright 2011 - Pediatric Dental Associates | Terms of Use