Mid Hudson Dental
Mid Hudson Dental

Patient Forms

Welcome New Patients - We’re Looking Forward To Your Visit! 


We want to ensure that you find the process of completing paperwork as easy and convenient as possible.  Please complete, review and submit the digital forms below prior to your first visit with us.  For your convenience, you may also download, print and retain a copy of the Notice of Privacy Practices for your records.


Please note: Information submitted electronically is stored in a cloud service.  If you do not want to submit your information electronically, you may download and print the forms below and bring them with you to your appointment. 


Thank you for choosing our practice. We look forward to assisting you with all your dental needs. 

Notice of Privacy Practices (for your records)

HIPAA Notice of Privacy Practices (please complete this form and bring to your appointment)

Online Forms (Please complete and submit the forms below prior to your appointment)

Contact Mid Hudson Dental for Your Next Appointment Today!

282 New Hackensack Rd.

Wappingers Falls

New York, 12590

Tel: (845) 462-1118

Fax: (845) 462-1147

Want to know more about the Care Credit financing option?  Click on the image below to visit the website!

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