New Patient Form / Office Policy Form
Financial Responsibility Form / HIPPA Form

Our office, as well as the American Academy of Pediatric Dentistry, recommends that your child visit the dentist by his/her 1st birthday. You can make the first visit to the dentist enjoyable and positive. Your child should be informed of the visit and told that the dentist and their staff will explain all procedures and answer any questions. The less to-do concerning the visit, the better.

It is best if you refrain from using words around your child that might cause unnecessary fear, such as "needle", "shot", "pull", "drill" or "hurt". The office makes a practice of using words that convey the same message, but are pleasant and non-frightening to the child.

If your child is over the age of 3, we ask that you allow them to accompany our staff through the dental experience. We are all highly experienced in helping children overcome anxiety. Separation anxiety is not uncommon in children, so please try not to be concerned if your child exhibits some negative behavior. This is normal and will soon diminish. Studies and experience have shown that most children over the age of 3 react more positively when permitted to experience the dental visit on their own and in an environment designed for children.

"We are raising a whole generation of children who can look forward to going to the dentist!"

New Patient Form

For your convenience prior to visiting our office, please Click on the links below for your forms. Have all of the complete information and bring it with you to your first visit.

New Patient Health History Form
Office Policy Form
Financial Responsibility Form
HIPPA Forms

 

To print the form you will need Adobe Acrobat Reader.  If you do not have Adobe Acrobat, please click here to download it for free to your computer.

 

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Pennsylvania Pediatric Dentist, David A. Bresler, D.D.S., and Associates,
Pediatric Dentistry servicing the Fort Washington, Jenkintown, Media, and Philadelphia, PA areas.
Doc Bresler's Cavity Busters

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