Appointments & Forms

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The first step towards a beautiful, healthy smile is to schedule an appointment. Please contact our Scotch Plains dental office by phone  (908) 322-7800 or complete the appointment request form below. Our scheduling coordinator will contact you to confirm your appointment. We are open Monday through Friday with evening hours on Monday and Thursday.

  • Monday  9 am - 7 pm
  • Tuesday 9 am - 5 pm
  • Wednesday 9 am - 5 pm
  • Thursday 9 am -7 pm
  • Friday 9 am - 5 pm

If you are a new patient to our Scotch Plains dental office, the forms below will need to filled out when you arrive for your first appointment in our dental office. Printing them, filling them out and bringing them with you will allow us to attend to your dental needs more quickly than completing them on your arrival.  Thank you and please call our office if you have any questions or need any assistance. 

2024 New Patient Form.pdf

2024 New Medical History.pdf

Denture Repair Patients please complete the following form:

Denture Repair Form

Current Patients please complete the following annual update form:

Annual Update Form

*Items in bold are required.
Are you a current patient?

Preferred day(s) of the week for an appointment?

Preferred time(s) for an appointment?

Please describe the nature of your appointment (e.g., consultation, check-up, etc.):

Note: Messages sent using this form are not considered private. Please contact our office by telephone if sending highly confidential or private information.