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7 Graf Road, Suite 2A
Newburyport, MA 01950
New Patient forms | Newburyport Pediatric Dentistry

Patient Forms

Essential Tools for New Patients

New Patient Form Packet

Get started with our comprehensive New Patient Form Packet.

Download Our app

Download our app for instant access to your dental care needs — all from your phone.

Patient Portal login

Log in to Patient Portal to message us, complete paperwork, update contact details, and stay informed.

Consent Forms

Informed Consent for Patients

Empower your healthcare decisions with our informed consent process.

Caregiver Consent Form

Authorize a caregiver's role in treatment with our straightforward consent form.

Unaccompanied Minor Consent Form

Ensure the safety and care of minors with our specialized consent protocol.

Social Media Photo Consent Form

Choose how your images are shared with our social media photo consent form.

Office Policies & Compliance

Financial Policy

Understand our payment structures and financial policies tailored to ensure clarity and fairness.

HIPAA Policy

Learn about how we protect your health information in compliance with HIPAA regulations.

Our expert team specializes in making little smiles sparkle

If you have questions or wish to schedule an appointment to discuss your child's dental health, we're here to help.