(908) 659-7300
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Patients Forms

Request Appointment
(908) 659-7300

To ensure that you begin your appointment on time, please fill out the two new patient forms below, using either the English or Spanish versions (not both).
Simply print and fill out the forms at home, then bring them to our office for your first appointment.

  1. HIPAA Authorization Form (English)
  2. Financial Agreement (English)

or

  1. HIPAA Authorization Form (Spanish)
  2. Financial Agreement (Spanish)

Our Services

Dental Emergencies

Family Dentistry

Invisalign

Dental Implants

White Composite Fillings

Crowns & Bridges

Pediatric Dentistry

Orthodontics

Tooth Extraction

Oral Surgery

Root Canal

Wisdom Teeth

Teeth Whitening & Veneers

Sports Dentistry

Affordable Dental Treatment

At our practice, treatment decisions are made through open conversations between you and your dentist. We’re also happy to provide care beyond the treatments listed on our website to meet your unique needs. If you have any questions about our services, feel free to ask!

Elizabeth

74-76 Elmora Ave,Elizabeth, NJ 07202

Hours

Monday       : 9:00 am – 6:00 pm
Tuesday       : 9:00 am – 6:00 pm
Wednesday : 9:00 am – 6:00 pm
Thursday     : 9:00 am – 5:00 pm
Friday          : 9:00 am – 5:00 pm
Saturday      : 8:30 am – 3:00 pm
Sunday        : Closed

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