Patient Forms

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Dental Patient Forms

Going to the dentist can be an overwhelming experience, especially on your first dental visit. Let us put your concerns and anxieties to rest. Our goal at Westchester Smile Design is to make every patient experience as comfortable as possible.

To make your visit as pleasant and brief as possible, there are a few things you should bring with you. Please bring your dental x-rays from the last six months to your first appointment.

With just a few simple forms, we’ll ask for relevant medical history, any medications you might be taking, your dental history, and any dental insurance coverage you may have.

Want to get a head start? Download the new patient forms below.

These documents are in Adobe PDF format. If you’re unable to read PDF files, please  download free Adobe Acrobat Reader here.

Our Happy Customers

"Excellent staff, excellent service, the Dr's here are great....I would recommend this practice to everyone....especially if you have a phobia like I did, they'll make it melt away...."

Jacqueline

"Went there for just the teeth whitening procedure. Very professional office & staff, state-of-the-art equipment, very happy with results. would highly recommend- good experience"

Christopher

"Dr. Markovitch was great! Super friendly, extremely pain free. And sometimes funny:)"

Grigori
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