Patient Forms

If you are a new patient to our 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 dental office if you have any questions or need any assistance. 

New Patient Registration Form (coming soon)

HIPAA Privacy Act (coming soon)

This web site uses files in Adobe Acrobat Portable Document Format (pdf) which require Adobe® Acrobat® Reader for viewing and printing. It is available to download free.

 

Dr. Garofoli, Dr. Heffernan, & Dr. Bruneau
Family Dentistry
Celebrating 40 Years of Service

Restorative & Cosmetic dentistry to patients with services including: Dental Cleanings & Exams, Dental X-Rays, Emergency Dentistry, Crowns, Dental Implants, Veneers, Dental Bridges, Root Canal Therapy and Teeth Whitening.

2024

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Our Office

131 S. Main StreetSouth Lancaster, MA 01561Get Directions(978) 365-5643

2024

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