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Prior to your exam, you’ll complete a health history which helps us identify oral and overall health issues we should watch out for. The form is available on this page. While you may be surprised at the thoroughness of the form, we believe it’s important we have all relevant information as part of your healthcare team, and it’s an important step in helping us care for you properly.
What you should bring to your first visit:
1. Dental insurance card, if applicable
2. Photo ID card
3. Completed new patient forms
We’ll need the information on the form prior to getting started. Please download the form, complete it and bring it to your first visit. If you are not able to complete these forms prior to your first visit, please arrive 10 minutes before your scheduled appointment.
Download New Patient Form (English)
Download New Patient Form (Spanish)
Download Child Registration Form
Download Post Op Form
Download HIPAA Form
The form is a PDF and requires you have Adobe Reader to open it. (Nearly all computers have this. If you cannot open the form, you can download it here: Download Adobe Reader.)
After opening the form, you can place your cursor in the text fields and type your answers. You can also click the appropriate selections to choose Yes/No, etc.
To print the form from your computer:
1. Choose File > Print or click icon in the toolbar
2. Select a Printer
3. Click Print
This page was modified on by Dr. Alexander Bokser, DDS (Dentist) of Precision Dental NYC
Dr. Alexander Bokser is a dentist in Astoria, NY and Bayside, NY. He received his degree from New York University College of Dentistry, licensed by the New York State Board of Regents and the North East Regional Board of Dental Examiners.
He is currently teaching dentistry at Albert Einstein School of Medicine. Dr. Bokser has received numerous awards in dentistry and community service. He is a member of the American Dental Association, Academy of General Dentistry, and North Queens Dental Study Club.