Call: 845.243.2300
or Text: 845.243.2378

1557 Rt 82, Suite 8
Hopewell Junction, NY 12533

New Patients


Before your visit with Dr. Prunty, you can save time by filling out these forms.

Important: Please submit forms electronically, do not print and bring forms to the office. You must make an appointment with our office prior to filling out any paperwork online.

Just click-on the “NEW PATIENT FORMS” button below to begin the new patient forms process. Thank You.

NEW PATIENT FORMS

Don’t forget to bring a copy of your current insurance cards, so that we can file your claims properly for you.

If you are transferring to our office from another dentist, request copies of any x-rays that were taken within the last 12 months using this Release of Records Form.

 

Parents: If your child is under the age of 18, you must be present during their first appointment.


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