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New Patient Information

New Patient Forms

We are happy to make our new patient forms available for download online at your convenience.  To download, please click on the button to the right.


We kindly request that you bring these completed forms to your first visit or plan to arrive 15 minutes early so that you can complete them on site.  Thank you!

Dental Insurance


Please feel free to contact Uptown Dentistry with any questions about your dental insurance policy.  We would be happy to help determine your eligibility and provide an estimate for each visit.


Uptown Dentistry has an in-network relationship with many (but not all) plans from the following PPO insurance companies:

  • Aetna

  • Assurant

  • Cigna DPPO Total

  • Delta Dental Premier

  • Guardian

  • Humana

  • Metlife

  • Principal Financial

  • United Healthcare

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