ELECTIVE DENTAL TREATMENT NOTICE AND ACKNOWLEDGEMENT OF RISK FORM

Our top priority is the  safety of our patients, staff, and community. This document is to serve as information to acknowledge and understand regarding safety and dental care.

Print or Submit, but be sure to do one before your next visit - Thank you.

DOWNLOAD A PRINTABLE COPY OF THE FORM

For the most up-to-date information on our accepted dental insurance plans contact our office directly at 610-691-6200

Best practices to taking care of teeth

Save time when visiting the office and download all your patient forms here