Call for an appointment: 
Medfield, MA 508-359-2321

The first visit to the office is designed to get you better acquainted with all we offer as well as introducing you to the Doctor and our caring staff.  We encourage questions and always do our best to deliver quality care.  Please take a moment prior to your scheduled appointment to download each of our patient forms.  We ask that you complete the forms and bring them with you to your appointment so we may better assist you in a timely manner.  Thank you for your confidence in our office, we look forward to assisting you with all your dental needs.

For your convenience, forms can be downloaded in pdf (Adobe) or doc (Word) format.

Patient Forms:  TO BETTER KNOW YOU.pdf  TO BETTER KNOW YOU.doc

HIPPA Privacy Act:  HIPAA Privacy Notice.pdf  HIPAA Privacy Notice.doc

HIPPA Concent Form:  HIPAA Consent.pdf  HIPAA Consent.doc

Medical History Form: PATIENT MEDICAL HISTORY.pdf  PATIENT MEDICAL HISTORY.doc

General Informed Consent Form: Informed Consent- General.pdf  Informed Consent- General.doc

 

Best Medfield Dentist