Your completed forms
Print and fill out the health history form below, and bring it with you to your first visit.
New Patient Forms
New Patient Forms
Before Your First Visit
Save time at your first appointment
To help your first visit go smoothly, please download and complete our health history form ahead of time. Bringing it with you means more time for what matters — getting to know you and your smile.
New Patient Health History Form
Our standard new-patient health history form (PDF, 2 pages). Print it, complete it at home, and bring it to your appointment.
What to Bring
Come prepared, leave relaxed
Insurance information
If you have dental insurance, bring your card and details — we'll be glad to submit the claim for you.
A list of medications
Note any medications you take and any medical conditions so we can care for you safely.
Need a Hand?
Questions about your forms?
Prefer to fill everything out at the office, or have a question before your visit? Just give us a call — our Stratford team is happy to help.
Goldberg Marcus Monteiro Dental
Ready to schedule your visit?
New patients are always welcome at our Stratford practice — we'd love to meet you and your family.