Peak Family Dentistry

New Patient Forms

Take a few minutes to download and fill out your forms on your time!

New Patient Forms


General Info & Insurance Record
Office Financial Policy
Notice of Privacy Practices (HIPAA)
Health History Form

We Love to See You Smile
If you have difficulty using our website, please email us or call us at (201) 487-4008
View the ADA Accessibility Statement
We are happy to inform our patients that we will be reopening our office on May 26th for most treatment.  We are in all week to answer questions and make appointments for you.

For more information on COVID-19 and our practice, including changes to our safety measures, CLICK HERE.