Patient Registration

Dentist accepting new patients waldwick, Bergen County NJ

Please log in to our New Patient System to access and submit registration forms before your scheduled visit at our office.

• HIPAA Form – Notice of Privacy Practices and HIPAA Consent
• New Patient Forms
• Record Release
• Medical History Update

Technical Note:

You need Adobe Acrobat Reader to view some of our forms. Please download the free Acrobat Reader from Adobe’s web site if it is not already installed on your system.