First Visit

When you arrive for your first visit, please be prepared to complete all insurance and health information forms that will allow us to begin your dental treatment. We will ask you to fill out several forms that will get you acquainted with our office.

Your initial exam will last approximately one hour. Oral hygiene instructions will be provided along with suggestions to help you care for your teeth. In most cases, we will also clean your teeth on this visit and provide an evaluation that will outline your existing dental problems and proposed treatment.

Patient's Health History Form

Patient Satisfaction Survey

How would you rate your overall visit?


Did the staff treat you professionally on the phone?


Did the staff greet you properly?

Was the staff professional to you and your child?

Was the doctor/hygienist professional and courteous to you and your child?

Did the cleanliness and infection control practices of our office meet your expectations?

Were your financial matters handled in a timely and well-addressed manner?

Would you refer your friends and family to us?

How would you rate the time spent with the doctor/hygienist?


Please comment on how we could make your visit better:
Name (optional):

2100 Bartow Avenue, Bronx, NY 10475, Phone (718) 708-6755, Fax (718) 708-6766
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