Patient Forms

Chapel Hill Dental Arts Patient Forms - Download, Print & Complete

Below you will find a link to the forms you will need for your first visit. You may print the form fill it out in the privacy of your own home and bring with you to your appointment.


Patient Information and Consent Forms

Consent For Use & Disclosure of Health Information


Office hours are by appointment only according to the hours listed on this website.  To schedule an appointment either for a visit with one of our doctors, our hygienist or for a denture repair, please call 732-345-8460.  Please give the appointment coordinator a brief description of your dental needs so that she will know best how to place you in the schedule.  Be prepared to offer information about your general health or dental history that may prove helpful to her in determining if you have special needs.

If you are unable to keep an appointment, please give us at least 24 hours notice.  That way we can schedule another patient and you may avoid any charges for a missed appointment.


We make every effort to accommodate patients with toothaches or other emergencies into our schedule on the day they call.  Our doctors will determine the cause of the emergency and provide treatment as indicated to alleviate the pain and/or discomfort for the patient.  Other appointments may be necessary to complete the treatment that was begun on the emergency visit.