Holzinger Periodontics & Dental Implants

Call our office today to schedule your appointment!

860-347-8457

Patient Forms

Download and complete forms before your visit

To save time at your appointment, please download and complete the necessary forms before your visit. You may also complete these forms when you arrive at our office.

New Patient Registration Form

Complete this form if you are a new patient visiting our office for the first time.

Medical History Form

Provide your complete medical history including current medications and allergies.

Insurance Information Form

Submit your dental insurance information for billing purposes.

HIPAA Privacy Notice

Review and acknowledge our privacy practices regarding your health information.

Consent for Treatment

Authorization form for dental treatment and procedures.

Need Help?

If you have any questions about completing these forms or need assistance, please call our office. We're happy to help you prepare for your appointment.