1. New Patient Forms
Please have these forms filled out & e-mailed to us prior to to your appointment.
e-mail: DF.FamilyDental@gmail.com
Thank You,
DFFD Team
Request & Consent for Dental Treatment
Request for Release of Dental Records
2. COVID-19 Patient Pre-Screening
Our patient’s safety & health is important to us at Dobbs Ferry Family Dental. To prepare for your visit during this pandemic, we ask you to answer the following questions.
Upon arrival at our office, we kindly ask you to telephone our front desk for instructions as to when you can enter the office. Our staff will review the following form prior to your arrival into the office.
Also, please note that if you require assistance, you can only be accompanied by only one person. You must wear a mask upon your arrival and immediately after entering the office, you must use hand sanitizes conveniently located at the front desk.
Find COVID-19 Pre-Screening Form below.