Your First Visit to Unique Dental of Pembroke

Here at Unique Dental, we want to make your first and every dental appointment as easy and painless as possible.
Coming into the dentist’s office with your forms filled out and having educated knowledge of what to expect can save you time and make your visit to the dentist much faster, convenient and enjoyable.

Why we need patient dental forms?

Most of the crucial dental information needed is the “New Patient Form” allowing us to get to know you, and your dental history. A dental treatment consent form is needed so that we have in writing, your consent to provide the necessary dental procedures. The responsible financial party form collects your insurance and financial responsibility information so that we don’t have to bother you for that each time that you come in. And the HIPAA consent form is legally required for privacy in the state of Massachusetts.

To make your visit easier we have provided all of the necessary forms below! You can print them out and bring them in when you come, or you can even drop them off or mail them previous to your visit.

 

COMPLETE THE FORM