New Patient Forms
![](https://newhopesoleburydental.com/wp-content/uploads/2024/04/form3-520x347-1.png)
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.
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![](https://newhopesoleburydental.com/wp-content/uploads/2024/04/form2-520x347-1.png)
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.
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![](https://newhopesoleburydental.com/wp-content/uploads/2024/04/form1-520x347-1.png)
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.
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![](https://newhopesoleburydental.com/wp-content/uploads/2024/04/form4-520x347-1.png)
Child Health History (Orthodontics)
We strive to teach good oral care that will enable your child to have a beautiful smile!
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![](https://newhopesoleburydental.com/wp-content/uploads/2024/04/form6-480x320-1.png)
Adult HIPPA Form
New Hope-Solebury Dental Associates acknowledge of receipt of notice of privacy practices. You may refuse to sign this acknowledgement.
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![](https://newhopesoleburydental.com/wp-content/uploads/2024/04/form7-480x320-1.png)
Child HIPPA Form
New Hope-Solebury Dental Associates acknowledge of receipt of notice of privacy practices. You may refuse to sign this acknowledgement.
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![](https://newhopesoleburydental.com/wp-content/uploads/2024/04/form5-480x320-1.png)
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.
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Reach out to New Hope Solebury Dental at 215-862-6400 for premier dental care.
We’re excited to welcome you to our family of satisfied patients.
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