New Patient Forms

New Patient Forms

Form The New Patient Forms are in Adobe Acrobat (PDF) format. If you do not have Acrobat Reader, get a free copy by clicking on the link below.

Please print the New Patient Forms, fill them out, and bring them with you for your appointment.

Health History Form (Acrobat PDF form)

Dental Insurance Form (Acrobat PDF form)

Privacy Practices (Acrobat PDF form)

Dental Topics

Latest Technology
Cosmetic Dentistry
Infection Control
Dental Implants
Gum Treatment

Cosmetic Dentistry

Teeth Whitening
Bonding
Veneers
Caps (Crowns)
Tooth Colored Restorations

Patient Info

Map & Hours
Payment/Insurance
New Patient Forms

Monday     9:00am - 6:00pm
Tuesday     9:00am - 5:00pm
Wednesday        closed
Thursday     9:00am - 7:00pm
Friday          9:00am - 2:00pm
Saturday    8:30am - 1:30pm

About Us

Meet our Doctors
Home

996 Hicksville Road
Massapequa, NY 11758

516-799-1787

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© Copyright 2001- Dental WebSmith, Inc. and Colombo Dental Associates, L.L.P. All rights reserved worldwide. Disclaimer: The information provided within is intended to help you better understand dental conditions and procedures. It is not meant to serve as delivery of medical or dental care. If you have specific questions or concerns, contact your health care provider.