Patient Forms

If you are a new patient to our office, the forms below will need to filled out when you arrive for your first appointment in our Pompton Lakes dental office. Printing them, filling them out and bringing them with you will allow us to attend to your dental needs more quickly than completing them on your arrival.  Thank you and please contact our family & cosmetic dental office if you have any questions or need any assistance.

Patient Welcome Form

New Patient Registration Form

HIPAA Privacy Act

ADA Patient Screening Form

This web site uses files in Adobe Acrobat Portable Document Format (pdf) which require Adobe® Acrobat® Reader for viewing and printing. It is available to download free.

 

 

"I always enjoy coming to this office. Everyone is always so nice. Dr. Slutsky is a very good doctor and I highly recommend her.
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- Irene C., West Orange
"The doctor was really nice and considerate. Coming here is very welcoming, pleasant experience.
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Alexander N., Florham Park
"It's always a pleasure to come here. The staff and Dr. Lucy are wonderful!
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Angie D., Livingston
"I am so happy. My son enjoyed his visit with the doctor and nurse. I want to thank you very much!!!"
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Gladys M., West Orange
"PERFECT! Dr. Slutsky saved my tooth!"
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SallyAnn M., Livingston
"It was as pleasant as always. The personnel make you feel special and render attention to you more than what is expected"
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Rosemary H., West Orange
"EXCELLENT DENTIST"
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T.O., Livingston
"I have been coming here for a long time because I am very satisfied. I had a cleaning. It was quick, thorough and painless.
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Alicia K., West Orange
"Dr. Slutsky is very reassuring and a very good dentist"
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Lisa R., Verona
"A friend of mine told me about Dr. Slutsky. I like her very much. She is very pleasant and not painful."
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Victoria B., Livingston
Ready for your first appointment?