Registration Forms (for new patients)

 

                 New Patient Registration Form

 

                 Health History Form

 

 

Patient Forms

Patient Instructions

 

                 Tooth Extraction

 

                 Implant and Bone Graft  (Before Surgery)

                 Implant & Bone Graft Surgery    (After Surgery)

 

                 Root Canal Treatment                                     

                

 

 

 

 

Insurance Eligibility Form

 

(please fill out and fax this form to us before your first appointment)

Fax No: 201-255-0148

 

You may also email us the information pdf or other formats  as specified in the form to Drshidental@gmail.com

 

You may also text us the information as specified in the form to 917-640-8262.

Contact Us

Phone:                      (888) 842-7558  (Main line)
                                  (212) 925-7066

 

                                  (866) 405-9737  (Cantonese)

 

Fax:                           (212)  925-2923

 

E-mail:                     Drshidental@gmail.com      Text: 917-640-8262

Smile More For Less --- Qualilty Modern Dentistry at Affordable Prices