For your convenience, please print out and complete the patient forms below prior to your first appointment.  Thank you.

Patient Information and Health History 

Dental Insurance Information

Notice of Privacy Practices

Acknowledgement of Receipt of Notice of Privacy

Financial Policy and Dental Insurance Information

Below is a list of Treatment Instructions. You can print out the information pertinent to your treatment.

Care of the Mouth After Extractions

Denture Instructions

Premedication Guidelines

Information about Fluoride

Dental Implants

DeGeorge Dental ~ 53 Payne Rd., Lebanon, NJ ~ 908-735-7888
  Home  About Us  Dental Services  Contact Us  Patient Forms & Instructions

There's nothing quite like a beautiful smile!
DEGEORGE DENTAL LLC  Carol DeGeorge DMD, Joseph DeGeorge DMD