Pediatric dental care, elevated - for modern New York families.
Visit
Mon-Fri, 8:00am-7:00pm
Sat-Sun, 8:00am-3:00pm
Patient Registration
Patient Forms
New and existing patients are welcome to complete their pediatric dental patient forms online before their visit using our secure online registration form.
Completing your forms in advance allows our team to review your child's information before the appointment — so we can focus your visit entirely on your child, not paperwork.
Once completed, please press the Submit button to automatically send us your information. Every precaution has been taken to ensure your patients' private health information remains fully secure and HIPAA-compliant.
- Completing pediatric dental patient forms before your visit saves valuable appointment time
- All information is transmitted securely and stored in full compliance with HIPAA standards
- Both new patient registration forms and existing patient update forms are available online
Flexible Options for Your Family
New Patient Registration
If you have any questions about our patient registration process or pediatric dental patient forms, our team is happy to help.
Call us at (212) 355-7760 or visit our New Patients page to learn what to expect at your first visit.
For guidance on children's first dental visits, visit the American Academy of Pediatric Dentistry.