Scheduling Same Day Appointments for Emergency and Walk-in Patients

Patient Forms

At Midtown Dental Center, we offer patient forms online so you can complete them in the convenience of your own home or office. Fax or email us your completed forms or bring a printed copy in with you at the time of your visit.
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  • If you do not already have AdobeReader® installed on your computer, Click Here to download it now.

  • Download the necessary form(s), print it out and fill in the required information.

  • Fax or email us your completed form(s) or bring a printed copy in with you to your appointment.

  • ​​​​​​​New Patient Packet

  • DOWNLOAD​​​​​​​
  • HIPAA Privacy Espanol

  • DOWNLOAD
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