If you are a new patient to our office, the attached file contains our new patient bundle with forms that will need to be filled out when you arrive at our office. Printing them, filling them out and bringing them with you will allow us to attend to your medical needs more quickly than completing them on your arrival. Thank you and please call our office if you have any questions at all.
Please fill out the following four forms and bring them with you to your appointment:
Medical HistoryDental Insurance Form
Office Policies & Procedures Disclosure
Acknowledgement of Receipt of "Notice of Privacy Practices"
The following form is for your reference only and does not need to be returned to our office:
Notice of Privacy Practices
This web site uses files in Adobe Acrobat Portable Document Format (pdf) which require Adobe® Acrobat® Reader for viewing and printing. It is available to download free.
7/31/15 In all of my years of going for dental care, I have never known any dentist like Dr. James Romano. He is the Best! The care he has taken of my teeth, no other dentist could compare. Dr. Romano explains everything that he is doing inside my mouth, and he is so gentle. I am so thankful for being in his care as a patient at Cedarwood Dental Group.
Elaine W., Brighton
8/6/15 As a dental hygienist for over 30 years, I find that being a patient at Cedarwood Dental Group is a wonderful and satisfying experience, and one that I look forward to, regularly! Cedarwood Dental Group is a caring office with high standards. Their friendliness and personal interest in their patients is evident from the moment you enter their beautiful office. I highly recommend the Cedarwood Dental Group to anyone!
Phyllis K., Penfield
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