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 email@example.com 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.
Form 1: Health History | Dental History
Form 2: Patient Acknowledgement | Financial Agreement | Receipt of Privacy
NOTICE OF PRIVACY PRACTICES
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.