Patient Forms

  • Patients are encouraged to download and fill out any of the applicable forms prior to their visit. Having these filled out in advance will decrease waiting time in the office.
  • New patients will want to download all of these forms. Please review carefully, and if you have questions we will be happy to answer them during your visit.

New Patients

Before your first visit

  • Call your insurance company to verify that your chosen provider (our dentist) accepts your insurance and is in your network.
  • Download, print and fill out the new patient forms and bring them with you to your first appointment.


Bring to your first visit

  • Photo ID
  • Insurance Card
  • New patient forms: New Patient Health History and Office PolicyAgreement

New Patient Forms


Office Policy

Empire Dental Group of New Jersey
2515 County Rd, Suite 516
Old Bridge, NJ 08857
Phone: 732-607-0909
Office Hours

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