So that you may complete our Patient Registration, Medical & Dental History Forms in the privacy of your home at your convenience, we have made them available for you to download and complete before your first visit.
If you prefer, we can mail you these forms or you can obtain the forms and fill them out when you arrive for your first appointment. Thank you for arriving early enough to complete the forms BEFORE the time we have reserved
for you with Dr. Bunin. The time we have asked you to arrive for your appointment is with the doctors, it does not include time to complete the forms in our office.
We are committed to ensuring and protecting the confidentiality of all medical information you share with us. You may download a copy of our Notice of Privacy Practices if you wish.
Here are the dental forms you’ll need for our records. To save time, you can print them out and bring the completed forms to your appointment. If you prefer, you can obtain the forms and fill them out when you arrive.
Registration & Health History Forms:
Acknowledgement of Privacy Practices/Notice of Privacy Practices: