- (212) 744-5544
- 333 E 79th St. New York, NY 10075
- Mon - Thu 10:00am to 6:30pm
Patient Forms & Privacy Assurance
East Side Smiles Intake Forms
Welcome to our practice! We kindly ask that you complete these forms as thoroughly and accurately as possible. Having this information ensures that our dental team can provide the safest, most effective, and personalized care for you and/or your child. Please know that all details you provide are kept strictly confidential and are used solely to support your dental health and treatment. To get started, please download and complete our intake forms.