Patient Forms

The first visit to our office is designed to get you better acquainted with all we offer as well as introduce you to Drs. Eric Gheewalla and AnnaMarie DeFeo and their caring staff. We encourage questions and do our best to always deliver quality care.


Please take a moment prior to your scheduled appointment to download our patient forms. We ask that you complete the forms and bring them with you to your appointment so we may better assist you in a timely manner. Thank you for your confidence in our office, we look forward to assisting you with all your dental needs



  • We will have you fill out your Medical History form in the office. Please arrive 15 minutes before your scheduled appointment time.


Pediatric Dentistry


Pediatric Dentistry Coloring Books for First Visit


Financial Guidelines


A credit card on file will be collected for all pediatric patients and active orthodontic patients.


There will be a $10 billing fee for any statements to be sent out if your automatic orthodontic monthly payment is declined.

Privacy of Protected Health Information



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