New Patient Information
If you would like to fill out both the registration and medical history forms prior to your arrival, you may do so by printing them from our website. Please bring the forms to your appointment. Please arrive at least ten minutes early if you are a new patient and do not choose to fill out the forms prior to your appointment time. This will allow our staff to expedite the data entry process and see you promptly. To schedule an appointment, please contact us via email or phone. info@cgdentalarts.com or 718-614-0241
Please Bring your Insurance Card to your appointment or have your Social Security Number available, so that our office can verify your dental benefits. As a courtesy, our office is happy to do a free benefits analysis for you.
Click to download and print.
- Patient Registration Form (PDF)
- Medical History Form (PDF)
- Credit Card Payment Authorization Form (PDF)
- HIPAA Acknowledgement Form
- HIPAA Policy
Cancellation Policy
We strive to render excellent dental care to you and the rest of our patients. In an attempt to be consistent with this, we have an Appointment Cancellation Policy that allows us to schedule appointments for all patients. When an appointment is scheduled, that time has been set aside for you and when it is missed or we are not given adequate notice, that time cannot be used to treat another patient.
Our policy is as follows:
We request that you give our office 48 hours notice (unless in the event of a medical emergency) in the event that
you need to reschedule your appointment. This allows for other patients to be scheduled into that appointment. If
you miss an appointment without contacting our office within the requested time, this is considered a missed
appointment. A fee of $75 will be charged to you; this fee cannot be billed to your insurance company and will be
your direct responsibility.
If you have any questions regarding this policy, please let our staff know and we will be glad to clarify any questions you may have. We thank you for your patronage.