New Patients

Patient Forms

Below are the Patient Registration and Privacy Policy forms you'll need to complete on your first visit. You can expedite matters by downloading these forms, completing them at home, and handing them to our staff when you arrive for your initial visit to our office.

• New Patient Registration Form

• HIPPA Release Form

• Financial Policy

• Record Request Form

Click here to read more about what our patients have said about their visits to Smiles by Bergen Dental.