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Patient Forms

PATIENT REGISTRATION

Consultation and Treatment During your first visit, our doctor will discuss your diagnosis and explore various treatment options with you. Sometimes, it’s possible to begin treatment on the same day as the consultation. However, for those with complex medical histories or detailed treatment plans, an initial evaluation will be necessary, followed by a second appointment to discuss or start your treatment.

Pre-Registration You can save time by pre-registering online. Simply complete our secure Patient Registration Form. Once finished, don’t forget to click the ‘Submit’ button to send us your information directly. We prioritize the security and privacy of your personal data, ensuring it is well-protected.

Begin Pre-Registration

 

Health Alerts Please inform us if you have any medical conditions (e.g., diabetes, high blood pressure, artificial heart valves and joints, rheumatic fever) or if you are on any medications (e.g., heart medications, aspirin, anticoagulant therapy) that we should be aware of prior to surgery. Additionally, let us know if you require any pre-medication before dental procedures, such as antibiotics for dental cleanings.

Schedule Your Visit Ready to book your appointment? Click the link below to select a time that works best for you with one of our doctors or hygienists.

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Make your dream smile a reality! Call us at 610-317-2400 or make an appointment

Links

24/7 Helpline
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Office

3740 Fairview Street 
Bethlehem, PA 18017

Contact

Open hours

Monday-Thursday: 9am-5pm
Tuesday-Wednesday: 10am-6pm
Friday:9am-2pm