Patient information and forms

Patient Forms, Map and Directions to Little Falls Dental

Your first visit to Little Falls Dental involves a few special steps so that we can get to know you. To understand what to expect, please read through this page. You'll find all the practical information you need, such as a map and directions to our office, practice hours, payment policies and more. There's also background information about our committed staff and our first visit procedures. You can also save some time by printing out and completing the patient forms in advance of your appointment.

Mission Statement
Our practice is working together to realize a shared vision of uncompromising excellence in dentistry.

To fulfill this mission, we are committed to:

  • Listening to those we are privileged to serve.
  • Earn the trust and respect of patients, profession and community.
  • Exceed your expectations.
  • Ensure a creative, challenging and compassionate professional environment.
  • Strive for continuous improvement at all levels.

Patient Forms
Please print and complete these forms so we can expedite your first visit. All new and existing patients should complete all the the following forms:


Forms for New and Returning Patients - Required

Consent to Treatment During COVID-19 Pandemic Form - Required

COVID-19 Patient Questionnaire - to be completed one to three days prior to your appointment

Because we are trying to minimize contact, please either:

  • Fax your completely filled out forms to 973-785-2316, or
  • Email them to Referrals@LittleFallsDentalNJ.com



We have also included some postopertive instruction forms for your convenience:

/docs/Dr_ Coopers Orthodontic Instructions.pdf

/docs/Immediate Denture post insertion instructions.pdf

/docs/Oral surgery post operative instructions.pdf

/docs/periodontal surgery post operative instructions.pdf



In order to view or print these forms you will need Adobe Acrobat Reader installed. Click here to download it.


 

What To Expect
Being well-prepared for your appointment will ensure that the doctor has all of the needed information to provide the best possible care for you. It also will help relieve any unnecessary anxiety you may be feeling. Visit our home page to learn about recent changes to our protocols and procedures.

 


 

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