Prosthetic, Implant & General Dentistry

1104 S. Cedar Crest Blvd., Ste. 100 Allentown, PA 18103

Call us Today
610-437-4486

Our Hours
Mon. - Thur.  8am-5pm
Friday 9am -1pm

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Forms

Patient Information

First time visiting us? Fill out this form and bring it in with you on your first visit.

Children's Patient Information
(10 and under)

Bringing in your child for checkup? Fill out this form and bring it in with you on your first appointment.

Financial Policy Form

Sign this form to provide insurance authorization.

Patient Acknowledgement Form

Download and sign this form to acknowledge our privacy policy.

HIPAA

Fill out this form to provide your consent to contact you with the methods you choose.

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