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

If you would like to email us your form please do so at

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If you have difficulty using our website, please email us or call us at (201) 487-4008
View the ADA Accessibility Statement
For our COVID-19 Screening Questionnaire and changes to our patient and staff safety measures, CLICK HERE.