Patient Forms


To ensure that you begin your appointment on time, please fill out the new patient forms below. Simply print and fill out the forms at home then bring them to our office upon arriving for your first appointment.

1. Financial Agreement

2. HIPAA Authorization

3. Medical History Form


Community Smiles
1100 N Broad Street

Hillside, NJ 07205
Phone: 908-409-7100
Fax: 908-409-5300

Office Hours

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