Home For Patients New Patient Forms

New Patient Forms


A patient completing formsThe following forms are provided to our patients online for download. Please print and complete the forms and bring them to your appointment.

If you have questions about any of the paperwork, please give us a call at (617) 430-6404 and our staff will be happy to help you.
New Patient Medical History
Cancellation Policy
Financial Policy
HIPAA Policy



97 Neponset Ave. Dorchester, MA 02122

Office Hours:


Mon 8-5
Tues 8-6
Wed 8-5
Thurs 8-6
Fri 8-5
Every other Sat 8-2






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Dorchester Dentist • Sparkle Dental • New Patient Forms
Forms on this page are provided to our patients for download. Please print and complete the forms and bring them to your appointment. Call us at (617) 430-6404.
Sparkle Dental, 97 Neponset Ave. Dorchester, MA 02122 + (617) 430-6404 + sparkledentalboston.com + 9/25/2024 + Tags: dentist Dorchester +