New Patient Forms | The Dental Way Bergenfield
Save time before your first visit by completing your patient forms in advance. Our Bergenfield dental team is here to make check-in simple, organized, and stress-free.
Everything you need for a smooth first appointment.
- ✓Complete your patient forms before arrival
- ✓Bring your photo ID and insurance card
- ✓Prepare your medical and dental history
- ✓Call our team if you need help
Upload Your Insurance Card Before Your Visit
To help our team verify your benefits faster, you may upload a clear photo of your dental insurance card before your appointment if this option is available. Please make sure the image clearly shows the member name, insurance provider, member ID, and group number if listed. Need help? Call (201) 385-2500.
Patient Information Form
Adult Patient Registration
Please download, print, and complete this form before your first dental appointment.
Child Patient Registration
Please download, print, and complete this form before your child's first dental appointment.
CareCredit Application
Please download, print, and complete this application for CareCredit financing.
What to Bring to Your First Visit
Complete your forms before your appointment.
To help make your first visit as smooth as possible, we recommend completing your new patient forms before arriving at The Dental Way Bergenfield. These forms allow our team to review your contact details, medical history, insurance information, and consent documents before your appointment begins. If you have questions while completing your forms, please call our office at (201) 385-2500 and our team will be happy to help.
Ready to visit The Dental Way Bergenfield?
Our team is here to make your dental visit comfortable, clear, and convenient. Request an appointment online or call our Bergenfield office today.