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New Patient Forms
Male patient filling out patient forms on his laptop The following forms are provided to our patients for online submission. Please complete and submit all forms below to expedite your appointment.

If you have questions about any of the paperwork, please give us a call at 781-362-2260 and our staff will be happy to help you!

Online Patient Registration
Online Medical History Form
Online Financial Agreement Form
Online X-ray Release Form
Online HIPAA Acknowledgement Form
Online COVID Screening Form
HIPAA - Full Policy (for patient reference)

Get in Touch!
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Dental Care of Burlington, 113 Terrace Ave, Unit 1, Burlington, MA 01803 ~ 781-362-2260 ~ dentalcareburlington.com ~ 6/30/2025 ~ Related Terms: dentist Burlington Ma ~