In order to maximize your time during your first visit, we ask that you please print out the information below. After printing, please complete each of the forms provided. We ask that you present these completed forms upon check-in for your appointment. The "Notice of Privacy Practice" information is for you to keep, you will be asked to acknowledge receipt of this information upon check-in for your appointment. Thank you for helping us make your visit more convenient.

Patient Information/Medical History

Dental History

Financial Policy

Smile Survey

Notice of Privacy Practice 

*Please note- the fax number to send these forms to is 617-737-6324. Thank you.

This web site uses files in Adobe Acrobat Portable Document Format  (pdf) which require Adobe® Acrobat® Reader for viewing and printing. It is available to download free.