(732) 257-7675

Patient Forms

Going to the dentist can be an overwhelming experience, especially on your first dental visit. Let us put your concerns and anxieties to rest. Our goal at Premier Dental Spa is to make every patient experience as comfortable as possible.

To make your visit as pleasant and brief as possible, there are a few things you should bring with you. Please bring any dental X-rays from the last six months to your first appointment.

With just a few simple forms, we’ll ask for relevant medical history, any medications you might be taking, your dental history, and any dental insurance coverage you may have.

Want to get a head start? Download the new patient forms below.

These documents are in Adobe PDF format. If you’re unable to read PDF files, please download free Adobe Acrobat Reader here.

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Our Happy Patients

"I have been receiving dental services here when I'm traveling from my hometown in FL. Dr. Todd is totally amazing, and he's the only other dentist that I will allow to work on my teeth. I also got a superb zoom whitening treatment and after-care package. My teeth are movie-star white now! Really great staff and wonderful atmosphere. Prices are reasonable as well!"

Starr A.

"Best experience ever! Super nice people! I am not afraid of dentists anymore!"

Nikolett M.

"I will only go the Todd to care for my pearly whites. He is kind, sweet and gentle and is an excellent Dentist. I was referred to him by my niece and have been going to him every since....Many many years now."

Lois S.
We're here to help you get the perfect smile!
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