Charles​Strick, DDS

We request that all new patients print and complete the following health and privacy forms prior to their first visit:

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1. Patient Info Form 

2. HIPPA Form

3. Medical History Form

4. Dental History Form

5. ADA COVID-19 Form

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Questions regarding the forms can be addressed by phone (914-693-6990) or email (info@charlesstrickdds.com)