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Patient Forms

Committed To Your Oral Health!

Welcome and Thank You for taking an interest in becoming a new patient at Arthur Street Dental Office. Choosing the right dentist is a big decision to make, and should not be taken lightly. After all, the strength and beauty of your smile is at stake!

We’d love to treat your dental needs at our practice and become your life-long dental health care provider. . If you are a new patient, please take the time to fill out the important form before your first visit.

Patient Intake Form - Adult

Patient Intake Form - Child

If you’re ready to take the next step and become a new patient at our Elmira dental office, contact us today! Our hygienists and dentists are eager to start serving your dental health needs. 519-669-1577