Filling out your patient forms in advance can save you time in our office and streamline your experience with our dentists and team. We invite you to fill out and submit your forms online before your appointment using the link below. If you have any questions or would like to schedule a consultation with Dr. Gary Herskovits and Dr. Amy Herskovits at our dental office in Brooklyn, New York, which also serves patients in Bay Ridge, call us today at 718-530-0999.
If you’re on a mobile phone, the Online Form is optimised for you to submit the form to us. If you’re on a home computer, the downloadable form may be easier to fill out and upload directly to our site.
COVID Screening and Acknowledgement Form