Dennison DentalDr. Katya Yankelevich · DDS
Forms

Forms,
downloadable.

Print, sign and bring with you. Both work — saving them online means you can stop and start.

PDF

New Patient Registration

Personal information, address, and insurance details — complete and sign.

1 pages · 5 min↓ Download
PDF

Consent for treatment

Office and financial policies, complete and sign.

1 pages · 1 min↓ Download
PDF

Acknowledgment

Acknowledgment of receipt of notice of privacy practices — complete and sign.

1 pages · 1 min↓ Download
PDF

Notice of Privacy Practices

How we protect your information. For your records.

1 pages · Read↓ Download