Dentist Lexington Patient Forms

Patient forms for our Lexington and Winchester, MA offices.

At both of our Lexington and Winchester offices, we value your time as our patient that is why we offer the forms below for you to fill out before your office visit. This will save you time at our office and will give you a less stressful visit.

 

Patient Registration - PDF

 

Consent for Treatment - PDF

 

Dental History - Page 1

 

Medical History - Page 2

 

Patient Financial Agreement

 

Receipt of Notice of Privacy Practices