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Patient Forms

To help us serve you better, we kindly ask that you complete the new patient form prior to your first appointment. Thank you for your cooperation!

New Patient Form

A commitment to the Bedford community

  • Locally-owned and operated clinic
  • Serving the community for generations
  • Pay It Forward program gives back
  • Convenient Bedford Highway location
  • Values of trust, integrity, and fairness

A warm and friendly experience

  • We work to make every patient comfortable
  • Friendly people in an inviting clinic
  • Serving you with respect and patience
  • Experts at putting kids at ease
  • Lots of free parking!

Uncompromising dental health care

  • Comprehensive and quality dental care services
  • Skilled and experienced professionals
  • Care includes more complex treatments like implants
  • Digital dental technology in house
  • Convenient payment terms and options