Patient Forms


Patient Forms

Advanced Dentistry of New York welcomes new patients! If you are new to our practice, we invite you to complete your patient forms prior to your first visit with our friendly dentist in Jackson Heights, New York. This will help us expedite your paperwork and streamline your experience at our office. Please contact our office at (718) 476-3800 if you have questions about our patient forms, and to schedule your next appointment with Dr. Backer. Our team is glad to assist you.


PRIVACY PRACTICES (English and Spanish)

PATIENT INFORMATION – PAGE 1 (English and Spanish)

PATIENT INFORMATION – PAGE 2 (English and Spanish)

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