Below are the Medical History and Privacy Policy forms you'll need to complete on your first visit. You can expedite matters by downloading these forms, completing them at home and handing them to our staff when you arrive for your initial visit to our office.
Patient Registration
HIPPA Form
In order to view or print these forms you will need Adobe Acrobat Reader installed. Click here to download it.
Please enter your address, zip code or city and state below for door-to-door directions.
Your first visit to our office is designed to get you better acquainted with all we offer as well as introduce you to Dr. Libin and her caring staff. On your first visit, we will review your medical and dental histories and evaluate your oral health. We will take digital x-rays of your teeth and explain to you whether or not you will require any dental treatment.
Monday: | 11:00 am – 7:00 pm |
Tuesday: | 10:00 am – 3:00 pm |
Wednesday: | 11:00 am – 8:00 pm |
Thursday: | 10:00 am - 4:00 pm |
Friday: | 10:00 am – 5:00 pm |
Saturday: | 10:00 am – 3:00 pm |