Brooklyn cosmetic family dentist Yelena Vaysman, patient forms

Patient Documents

The Patient Information documents must be completed by all new patients. If you are an existing patient, you do not need to update them, unless your last visit to our office has been over 1 (one) year.

Completing this paperwork prior to your appointment will alleviate the need to complete it at our office. This will help us better serve you. Click on the on the highlighted links to view and print copies of these documents.

Please read our notice of privacy practices

Notice of privacy practices

For New-Patient:

New Patient Checklist

Patient infornation form

Notice of privacy practices acknowledgement

Medical History

Dental Treatment Consent

Financial Policy

Frequently Asked Insurance Related Questions