We Go the Extra Mile for You

We invite you to complete your patient forms before your appointment at Advanced Cosmetic Dentistry. This will save you time in our office and help streamline your experience. If you have any questions about your patient forms or if you want to schedule a consultation with our dentists in Middletown, Connecticut, Dr. Peter Nelson and Dr. Amandeep Singh, please contact our office at 860-347-1227. Our team will be happy to assist you.

Online Forms:

COVID Pre-Screen Form
Patient Information
Medical History Form
Dental History Form
Insurance Information
Communication Release Form
Notice of Privacy Practices (HIPAA)

Printable Forms:

Registration Form
Medical History Form
Dental History Form
Child Dental Medical History Form
HIPAA Acknowledgement
Notice of Privacy Practices (HIPAA)