New Patient Forms

Adult Health History (General Dentistry)
The benefits of a happy, healthy smile are immeasurable! Our goal is to help you reach and maintain maximum oral health.
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Child Health History (General Dentistry)
We would like to welcome your child to our office. Our goal is to make every child’s visit pleasant and educational.
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Adult Health History (Orthodontics)
Welcome to the Orthodontist! Please fill out this form completely. The better we communicate, the better we can care for you.
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Child Health History (Orthodontics)
We strive to teach good oral care that will enable your child to have a beautiful smile!
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Adult HIPPA Form
New Hope-Solebury Dental Associates acknowledge of receipt of notice of privacy practices. You may refuse to sign this acknowledgement.
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Child HIPPA Form
New Hope-Solebury Dental Associates acknowledge of receipt of notice of privacy practices. You may refuse to sign this acknowledgement.
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Smile Evaluation
Stand in front of a mirror 12″-14″ from your face. Smile and take time to observe your teeth carefully, then answer the following questions accordingly.
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Reach out to New Hope Solebury Dental at 215-862-6400 for premier dental care.
We’re excited to welcome you to our family of satisfied patients.