Patient Forms

Patient Forms 

We understand how busy you are and value both you and your time.  This is why we make our new patient forms available for download, providing you with the option of completing them at your leisure in the comfort of your own home prior to your appointment with us.

Simply print them out, fill in your information and bring them with you to your initial visit.

Click here to download your Patient Health History Form »

Click here to download your Patient Registration Form »

Click here to download our Privacy Policy »

Click here to download our HIPPA Policy

Click here to download our Financial Policy

Please arrive for your new patient appointment 10-15 minutes early to allow our front desk staff to enter your information into our patient database and our dental professionals can provide ample time to care for you and your dental health during your initial visit.

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Amerident Dental
505 Nashua Road, Suite 13 Dracut, MA 01826
Phone: (978) 957-5733 URL of Map