New Patients (215) 348-4172

Current Patients (215) 348-4172

708 N Shady Retreat Rd #6 Doylestown, PA 18901

Doylestown, PA Dentist Office Patient Forms

Tyma Trachtenberg Dental in Doylestown provides the following downloadable patient forms (pdfs )to be completed prior to your first appointment. The forms are fillable pdfs so you can download them and type directly into them, or if you prefer you can print them out and fill them in by hand. You can email them to us in advance at or just bring them to your scheduled appointment.

Unable to complete the forms in advance? Please arrive 15 minutes prior to your scheduled time in order to ensure all forms are completed. Our staff is happy to answer any questions you may have about them.


This brochure describes how health information about you may be used and disclosed, and how you can get access to this information. You can download it here, or request it at the front desk of our office.

Notice of Privacy Practices