Welcome To Our New Dental Patients!

We want to get to know you. Please take a moment and fill out our new dental patient information forms. If you have any questions along the way, feel free to contact our practice.

» New Patient Information  – Patient Registration Form

» HIPAA Notice of Privacy Practices – HIPAA Notice of Privacy Practices PDF

» HIPAA Notice of Privacy Practices Acknowledgement  – HIPAA Privacy Acknowledgement Form

» Signature on File  –  Signature Form

If you’re unable to open PDF files, you can get Adobe Reader® for free.

We look forward to meeting you at your first appointment!

Bedford winner of living best of award for dentists


Our goal is to do all we can to make care possible. We’re here to help you get the care you want with payment options that give you flexibility and control.
Care Credit is easy to apply for and quick to get an answer to.
Bedford Dentist

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