Patient Forms

PATIENT REGISTRATION

Welcome new and existing patients!

To keep you and our staff in the safest environment, we are requiring all patient forms to be completed prior to your visit. You can easily complete and submit the forms through our secure platform from a computer, phone or tablet in the comfort of your own home and at your own pace. 

New Patients, please complete both forms found below.

Returning patients, please complete the Covid-19 patient form only. 

New Patient Form

COVID-19 Form

Call us at Downtown Dental Brooklyn Phone Number 718-576-3730 with any questions about completing your online registration.