Existing Patients Forms

Young Girl Patient in Dentist

Patient Forms

Below you will find our updated medical history form, covid consent form, and HIPAA consent form. To save time on your next visit, you can fill and submit them online using the link below.

Middletown Office Forms

Oakhurst Office Forms

Education
  • 1996 General Practice Residency, Montefiore Medical Center
  • 1995 Doctor of Dental Surgery, New York University College of Dentistry
  • 1991 Bachelors of Arts, Rutgers University
Licenses and Certificates
  • 1995 North East Regional Boards
  • 1996 NJ and NY Dental License
Continuing Education

Over 300 Hours including: Member or Past Member

  • Aesthetic Advantage levels I, II and Masters with Dr. Larry Rosenthal
  • Ronnie Golden Implant Seminar Series
  • Advanced Dental Seminars
  • Forum for Advanced Dental Studies
  • Academy of General Dentistry (AGD)
  • American Dental Association (ADA)
  • New Jersey Dental Association (NJDA)