Patient Forms

 
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Patient Forms

As a new patient at Healy and Molinaro Family Practice Dentistry, we ask you to please complete the forms below before you arrive for your first appointment. This will allow us to attend to your dental needs more quickly than completing them on your arrival. 

 

Did you know your dental health affects your general health?

It is important to maintain your dental health. Regular visits for dental cleanings and comprehensive exams, including oral cancer screenings, are essential. Approximately 51,540 people will be diagnosed with cancers of the mouth, throat, tonsils and tongue this year. Many diseases and medical conditions present symptoms in the mouth. From diagnoses to treatments, get complete attention and care when you come to us. 

The friendly environment of our office is sure to make you feel at home.  Worried about painful dental procedures? We offer drill-less dental techniques for select dental procedures that help to minimize pain. We invite you to express any your health concerns you may have with your dentist or hygienist. We respect your dental health concerns and aesthetic goals and will help you achieve them.