Forms

Dental Partners
of Boston
New Patient Forms

If you are coming to either one of our three Boston dental offices—Charles River, Prudential Center, or Fort Point—for the first time, we want to make your visit as smooth as possible.

Below you will find the forms that we require each new patient to fill out at their initial appointment. For your convenience we also provide them here in advance of your appointment. The completed forms are sent to our dental office. Upon your arrival we will ask you to sign them electronically. When you click on the button below, you will be taken to a secure server for completing this information. Please note, these forms have three parts: Patient Registration, Health History, and HIPPA Acknowledgement. Please make sure you complete all three portions of the new patient forms. A complete copy of the HIPPA Notice of Privacy Practices will be provided to you upon your arrival.

If you prefer not to complete these forms online, you can choose to complete them at our offices. If this is your preference, we kindly request that you arrive fifteen minutes before your scheduled appointment time.

For additional convenience, you may also send payments online.

Map of one of our locations

Visit Our Offices

Prudential Center

800 Boylston St., 2nd Floor
Boston, MA 02199
(617) 259-1100

Fort Point

46 Farnsworth Street
Boston, MA 02210
(617) 766-0987

Charles River

50 Staniford Street #303
Boston, MA 02114
(617) 606-6420

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