CALL US: 203 916-4666

Mon-Thurs: 9:30 am to 4 pm
Fridays: 10 am to 1 pm
Sat-Sun: Closed

1209 South Broad St, Wallingford | Contact Us

By Appointment Only | Same Day Emergency Services

New Patient Forms

Your first visit establishes a vital foundation for our relationship with you. During the first visit, we make sure to obtain important background information, like your medical history, and give you time to get to know your doctor. You can even save some time at your first visit by printing out and completing the patient forms in advance of your appointment.

Click here for New Patient Registration Form

Click here for Dental History Form

Click here for Medical History Form

Click here for our Billing Policy

Click here for our HIPPA Consent Form

Partners In Care

Currently accepting applications for dental assistant. Please call today to submit your resume - (203) 916-4666