- 215-862-6400
- Logan Square, 7 Village Row New Hope, PA 18938
-
Mon, Wed, Thur: 8am – 5pm
Tues: 8am – 6pm
Fri: 8am - 4pm
Forms
Adult Health History (General Dentistry)
The benefits of a happy, healthy smile are immeasurable! Our goal is to help you reach and maintain maximum oral health.
Child Health History (General Dentistry)
We would like to welcome your child to our office. Our goal is to make every child’s visit pleasant and educational.
Adult Health History (Orthodontics)
Welcome to the Orthodontist! Please fill out this form completely. The better we communicate, the better we can care for you.
Child Health History (Orthodontics)
We strive to teach good oral care that will enable your child to have a beautiful smile!
Adult HIPPA Form
New Hope-Solebury Dental Associates acknowledge of receipt of notice of privacy practices. You may refuse to sign this acknowledgement.
Child HIPPA Form
New Hope-Solebury Dental Associates acknowledge of receipt of notice of privacy practices. You may refuse to sign this acknowledgement.
Smile Evaluation
Stand in front of a mirror 12″-14″ from your face. Smile and take time to observe your teeth carefully, then answer the following questions accordingly.