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Patient Forms

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Patient forms: Gen Z Dentistry

Welcome to Gen Z Dentistry, your trusted dental care provider in Glendale, NY! We are excited to have you as a new patient. To ensure a smooth and efficient visit, we kindly request that you complete the following forms prior to your appointment. By providing us with this information in advance, you'll help us better understand your dental needs and provide you with personalized care tailored to you.

Patient Information Form

Please fill out this patient form with your name, address, contact details, and insurance information. This information is crucial for us to create and maintain your patient file accurately.

Medical History Form

Filling the medical history form is important for our dentists to provide safe and effective dental treatment. Please disclose any pre-existing medical conditions, medications, allergies, and past dental procedures or surgeries on this form.

Privacy Policy Acknowledgement

By signing this form, you acknowledge receipt of our privacy policy, which outlines how we handle your personal health information in compliance with HIPAA regulations. Your privacy and confidentiality are important to us, and we are committed to protecting your information.

Completing these forms ahead of time will expedite your check-in process and allow us to focus on providing you with the best possible dental care during your visit. If you have any questions or need assistance with the forms, please don't hesitate to contact our office. Our friendly staff is here to help.

Thank you for choosing Gen Z Dentistry for your dental needs. We look forward to serving you and helping you achieve a healthy, beautiful smile!

Contact Us

Practice Hours

Mon to Thur: 9.00 AM to 5.00 PM

Fri: 9.00 AM to 2.00 PM

Sat & Sun: CLOSED

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