Patient
Information & Forms
My entire staff and I welcome you to Liberatore
Family Dental, your new Oral Wellness Center. We will support your
long term dental needs in a prompt professional manner with a focus
on quality preventive care while providing comprehensive restorative
therapies.
My staff and I look forward to seeing you at your first visit.
We will customize your first visit to your individual oral health
requirements. Of utmost importance is a comprehensive medical history
review.
For your convenience we have included the required forms in PDF
format for you to fill out before your first visit. Please print
out the forms, complete them to the best of your ability and bring
them to your first appointment. Our staff will review the forms
with you at that time.
Note: Adobe Acrobat Reader is required to view and print
the forms. You can download and install the free Adobe Acrobat Reader
by clicking on the link below.

Patient
Registration Form
Medical
History Form
HIPAA Form
Records Release Authorization
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