Patient Registration

If you are a new patient to our office, the attached file contains our new patient forms that will need to be filled out when you arrive at our office. Printing them, filling them out and bringing them with you will allow us to attend to your childs dental needs more quickly than completing them on your arrival. Thank you and please call our office if you have any questions.

Patient Registration Form

6 Month Information Update Form

For more information,or to schedule a consultation with Dr. Brinton, call our office in Allentown, PA at Allentown Office Phone Number 610-395-4800, or request an appointment online.