Registration Forms (for new patients)

 

                 New Patient Registration Form

 

                 Health History Form

 

 

Patient Forms

Post-Operative Patient Instructions

                 Tooth Extraction                              

                 Implant Surgery  (Pre-surgical instructions)      

                 Root Canal Treatment                                     

                 Fillings  (Silver Amalgam
                                  white filling)      

                 Zoom In Office Whitening                            

                 Braces (traditional

                                  Invisalign)

                 Venneers (traditional

                                  Lumineers)

                 Deep Cleaning

                 Dentures

                

 

 

 

 

Insurance Eligibility Form

 

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

Fax No: 212-925-7066 or 201-255-0148

 

You may also email us the information as specified in the form.

To Contact Us

Phone:                      (888) 842-7558  (main line)

 

                                  (866) 405-9737  (Cantonese)

 

Fax:                           (201) 255-0148

 

E-mail:                     Drshidental@gmail.com

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