We ask our patients to complete these forms before their first appointment. Please click on the link below, print the forms and fill them out before coming for your first visit. Click on the links below to download form.
Note: These files are in PDF format. If you do not have Adobe® Reader® on your computer, you can download it for free by clicking here or on the Get Adobe Reader icon.
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Dental Health Associates, P.A.
Serving Newark, Irvington, Phillipsburg, North Brunswick, Plainfield NJ, Lumberton,
Hamilton NJ, Howell NJ, Lakewood, New Brunswick, Easton PA, and the surrounding area.
9-25 Alling St. | Newark, NJ 07102 | Tel: 973.297.1550
Irvington Office: 2 Washington Ave. | Irvington, NJ 07111 | Tel: 973.399.5000
1146 Stuyvesant Ave. | Irvington, NJ 07111 | Tel: 973.399.4242
Phillipsburg Office: 320 South Main St. | Phillipsburg, NJ 08865 | Tel: 908.454.9800
North Brunswick Office:
977 Livingston Ave. | North Brunswick, NJ 08902 | Tel: 732. 418.9800
Plainfield Office: 200 West 2nd St. | Plainfield, NJ 07060 | Tel: 908.755.3030
Hamilton Square Office: 957 Rte. 33 & Paxson Ave. | Hamilton Sq., NJ 08690 | Tel: 609.587.5858
1636-21 Rte. 38 | Lumberton, NJ 08048 | Tel: 609.914.5050
Howell Office: 5170 Rte 9 South | Howell, NJ 07731 | Tel: 732.367.8600
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