Welcome to Our Practice!
Forms
and directions Located Below
Your first visit to Bloom & Bloom, DMDs involves a few special steps
so that we can get to know you. You can save time at your first visit by completing any necessary form prior to your
appointment. If you take medications or any over the counter supplements, please make sure to include them on your
medical history form. Providing us with this needed information will ensure that the doctor and staff are able to
provide you with the best possible care. .
Please also take a moment to get to know us by reading through this page and about our office. You will find all the practical information you need, such as a map and directions to our New Brunswick office, practice hours, payment policies and more. There is also background information about our dedicated staff and our first visit procedures.
New Patient Forms
CLICK HERE TO
COMPLETE FORMS ONLINE
Click the link above to fill out your contact
information and start your forms.
In case you don’t have time to complete your forms now, we’ll send you a link
so you can come back and complete them later.
If you prefer to print & complete your forms please click on the highlighted links below, print and complete so we may expedite your first visit. You may bring them with you, or email to [email protected]
Privacy Practices Packet
(all patients)- if opened with a .pdf viewer you may complete digitally & print
ADULT Medical History Form - print to
complete
CHILD Medical History Form - print to
complete
We Look Forward to Serving You
We feel it is important for you to know that all appointments you make with Bloom and Bloom DMDs are reserved exclusively for you - we do not double book. Your first visit will likely be longer than your following visits and will consist of many information gathering procedures. This is to get to know you as a person and a patient, and to ensure we can appropriately assess your dental needs. To make this process efficient, please have your most recent full set of dental x-rays, recent bitewing x-rays, and/or recent panoramic x-rays forwarded to our office prior to your appointment. If you would prefer that we request your records from your previous dental practice, please call us. Please let us know when your last dental cleaning was, if you have any specific concerns and the primary need for your appointment so that we can best schedule your appointment to provide you with the care you need.
Take a moment to learn about any symptoms or concerns you may have by reviewing the patient education information on this website. Please make a list of any questions or concerns that you may have. You can also review our staff page and familiarize yourself with the doctors and our dental team. Preparing for your first appointment will help us help you and may also help relieve any anxiety you may be feeling.
Thank you!
