211 E. 43rd St., #1304, New York City, NY 10017
(212) 697-3946

Patient Info

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Patient Forms

Welcome to Midtown Dental Services new patient information page. Here you’ll find answers to questions concerning insurance coverage, as well as financing information and new patient forms. Be sure to call our office with any questions you may have about new patient acceptance or information.

Medical History Form:

HIPAA Consent Form:

Dental Financing Options

Financing options for smile enhancements, smile makeovers, dentures, implants and more are available via 3rd party financing with Cherry available here: