Welcome to Park Dental! We are so happy you have chosen to trust us with your dental health.

In order to maximize your time with us, please assist us by providing the following information at the time of your consultation:

  • Any x-rays taken by a previous dentist, if applicable (any digital x-rays can be forwarded to our email: martinsvilledentistry@gmail.com)

  • A list of medications you are presently taking

  • If you have dental insurance, bring the necessary completed forms. This will save time and allow us to help you process any claims.

 

IMPORTANT: All patients under the age of 18 must be accompanied by a parent or guardian.

Please alert the office if you have a medical condition that may be of concern prior to treatment (i.e., diabetes, high blood pressure, artificial heart valves and joints, rheumatic fever, etc.) or if you are currently taking any medication (i.e., heart medications, aspirin, anticoagulant therapy, etc.).

Please download and fill out the following new patient forms (you may need Adobe Acrobat Reader to view the file).

Initial appointment

Adult Form

Pediatric Form

© 2016 Park Dental of Martinsvlle, LLC. All rights reserved.

2003 Washington Valley Rd

Martinsville, NJ 08836

(732) 377-9690   |  MartinsvilleDentistry@gmail.com

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