Patient Form Downloads

For your convenience, all new patient paperwork can be accessed online. Simply download each form below, complete the forms at home, and bring the forms with you to your first appointment. If you should have any difficulty downloading these forms, please call our office and a knowledgeable staff member will be happy to assist you.

 

Authorization to Transfer Records

Medical History Form

Notice of Privacy Practices

Acknowledgement of Receipt of Notice of Privacy Practices

Electronic Communication Consent Form

Post Operative Instructions

  No Forms at This Time 
   
   
   
   

Our Office

Demartin Dental Associates
69 Sherman Street
Fairfield, CT 06824

New Patients:
203-297-6023

Current Patients:
203-255-0468

E-mail:
info@demartindental.com

About Us

We have been providing excellent dental care to our patients of all age groups in Fairfield County, Connecticut for almost five decades. Being in the same location for 50 years has made us distinguished in the community. We have built a rewarding relationship with the county and its people. They trust us with their dental care needs and we are committed to their oral health.