Appointment Request

Patient Information

Patient Availability

Reason For Visit

 You can also call 718-464-7556 to speak directly with one of our staff members or if no one answers, please leave a message and we will get back to you right away!!!

The first step towards a beautiful, healthy smile is to schedule an appointment. Please contact our Bayside, NY family dental office by phone @ 718-464-7556 or complete the appointment request form above. Our scheduling coordinator will contact you to confirm your appointment.

If you are a new patient to our Bayside dental office, the forms below will need to filled out when you arrive for your first appointment in our dental office. Printing them, filling them out and bringing them with you will allow us to attend to your dental needs more quickly than completing them on your arrival.  Thank you and please call our dental office if you have any questions or need any assistance. 

Download Patient Registrations Forms
  (5 pages)

Download a copy of our office policy regarding insurance and appointments

This web site uses files in Adobe Acrobat Portable Document Format (pdf) which require Adobe® Acrobat® Reader for viewing and printing. It is available to download free.


*Please do not use this form to cancel or change an existing appointment.*