Dedicated to building a trusting relationship that patients can count on for many years to come.
We are committed to making your appointments as easy and comfortable as possible. Every new patient is asked to fill out a comprehensive medical and dental health history form. Dr. Merzon uses these forms to carefully evaluate every patient individually, to allow for thorough diagnosis and treatment planning, if necessary.
Please fill out the following patient forms before your visit:
- New Patient Information Form
- Medical and Dental Health History Form
- HIPPA Notice of Privacy Practices Form
- Consent for Services and Financial Policy
In an attempt to save your valuable time during your first visit, please use the link below to fill out these forms on-line.
Online Forms
Please click here to fill out New Patient Information and Medical History forms online. Enter your first and last name, and appointment date. If you do not know your appointment date simply enter tomorrow’s date. These forms will be sent to our office electronically. There is no need to print them.