New Patient Registration

Welcome to our Faculty Practice in Newark! As a new patient, we're excited to welcome you into our care. To ensure we provide you with the best possible service, we kindly ask you to complete a few necessary documents before your appointment. These documents include:

1. New Patient Registration: This form helps us gather essential information about you, ensuring our records are accurate and up-to-date.
2. Insurance Information: Providing your insurance details helps streamline the billing process and ensures you receive the maximum benefits available to you.
3. Medical Dental History Form: Your medical and dental history is crucial for our team to understand your health background and provide personalized care that meets your needs.
4. Release of Information: This document allows us to communicate with other healthcare providers or entities as needed to coordinate your care effectively.

Please find the link below to access these documents. Once completed, a copy of your response will be emailed to our practice, and you will receive a copy as well. If you have any questions or need assistance, feel free to reach out to our friendly staff, who will be happy to assist you. We look forward to meeting you and providing you with exceptional care!

New Patient Registration Form