Call: 203-879-4649

Dental Health Associates - Patient Forms

If you are a new patient to our office, The attached file contains our New Patient forms that need to be filled out before you come to the office.  This will allow us to attend to your dental needs in a timely manner when your arrive.  You can either print and bring the completed forms on the day of your appointment, fax them to (203) 879-5560 or email them to   Please give a call if you have any questions. Thank you                                                                           

 New Patient Forms

Release of Information 

 Hippa Information

 Financial Policy

Please call our office if you have any questions.

Thank you,

Your devoted team at Dental Health Associates. 

Patient Packet

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