PATIENT FORMS, MAP AND DIRECTIONS TO NEW BRUNSWICK OFFICE
Welcome to our practice!
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 printing out and completing the patient forms, below, and bringing them to your first appointment. Providing us with 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.
Patient Forms
Fill out the forms below so we can expedite your first visit:
All Patients
(The notice of privacy practices, receipt document and electronic consent form are for all patients.)
- Notice of Privacy Practices
- Acknowledgement of Receipt of Notice of Privacy Practices
- Authorization and Consent to Transmit Unencrypted Patient Information Electronically
Adult Patients
Children Patients
We Look Forward to Your First Visit
We suggest that you take a moment to educate yourself on any symptoms you have by reviewing the patient education information on this website. Make a list of any questions you may have. Also, review our staff page and familiarize yourself with the doctors and our warm and welcoming dental team. Preparing for your first appointment will help us help you and may also help relieve any anxiety you may be feeling. We look forward to meeting you and to your first visit.