Patient Forms

Medical History – Please print this form and complete it detailing any medications, allergies, hip/joint replacements or need for pre-medication for dental procedures. Bring the completed form with you to your visit with us.

Office & Financial Policies – Please print this form, complete it, and bring it along too.

HIPPA Privacy Notification – Please read this notification, we will have you electronically acknowledge that you read it when you arrive for your visit.



Get in touch with us

(518) 633-4226


Business Hours

Mon-Wed: 8:00 am - 5:00 pm
Thu: 8:00 am - 4:00 pm
Fri: 8:00 am - 12:00 pm

Please feel free to give us a call or stop by anytime that you would like to schedule an appointment.

My Saratoga Dentist PLLC

Saratoga Springs Office (518) 584-9172