Here at Unique Dental of Worcester office, 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.

Patient Registration Form

Dental Treatment Consent Form

Responsible Financial Party Form

HIPAA Consent Form

What to prepare and what to expect on your first dental visit!

 

VISIT OUR WORCESTER DENTIST OFFICE

You can reach us by phone, email or just stop by.


Unique Dental of Worcester
1438 Grafton Street
Worcester, MA 01604
(508) 753-5488
smile@uniquedentalofworcester.com
www.uniquedentalofworcester.com

Business Hours
Mon & Tues: 8 – 6 pm
Weds: 8 – 7 pm
Thurs: 8 – 5 pm
Fri: 9 – 7 pm
Saturday: 9 – 3 pm
Closed on Sunday

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