Office Forms

Thank you for choosing Advance Dental for your dental care! Please fill out the appropriate forms provided below before your first visit, or arrive 15 minutes early to fill them out in our office.

English Forms

SDF Consent Form Acceptance of Partial / Denture Treatment Consent on Minor Child in the Absence of Parent/ Guardian Update HIPAA Consent Form Media Consent Form Root Canal Consent Forms In Office Whitening / Bleaching Dental Implant Consent Form Oral Surgery Extraction Consent Form Periodontal Scaling and Root Planning Consent

Spanish Forms

SDF Consent Form - Spanish Acceptance of Partial / Denture - Spanish Treatment Consent on Minor Child in the Absence of Parent/ Guardian - Spanish Update HIPAA Consent Form - Spanish Media Consent Form - Spanish Root Canal Consent Forms - Spanish In Office Whitening / Bleaching - Spanish Dental Implant Consent Form - Spanish Oral Surgery Extraction Consent Form - Spanish Periodontal Scaling and Root Planning Consent - Spanish

OFFICE HOURS

Monday: 8 AM - 5 PM

Tuesday: 8 AM - 5 PM

Wednesday: 8 AM - 5 PM

Thursday: 8 AM - 5 PM

Friday: 8 AM - 4 PM

CONTACT US

(413) 733-6576

1038 Main Street

Springfield, MA 01103

1795 Main Street

Suite 203

Springfield, MA 01103

Email: advancedentalspringfield@gmail.com

Fax: (413) 209-3119

QUICK LINKS

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