NEW PATIENTS WELCOME!

Call for an Appointment:

(610) 337-2325

Upper Merion Dental Associates

357 South Gulph Rd

King of Prussia, PA  19406

Tel:  (610) 337-2325                

Fax: (610) 337-3863

Helpful Links for More Information

Special Care Dentistry

American Academy of Pediatric Dentists

Federation for Children with Special Needs

Academy of General Dentistry

American Association of Orthodontics

National Maternal and Child Oral Health Resource Center

International Association for Dental Research

Kids Corner

Forms & Links

SAVE TIME!  DOWNLOAD NEW PATIENT FORMS

Print the forms, fill out and bring to your first appointment.  Click on the item below to download a pdf version of the form.  ALL FORMS ARE REQUIRED.

Medical & Dental History

New Patient Registration - ADULT

New Patient Registration - CHILD

Notice Privacy Practices (HIPAA)

Dental Insurance Form

ESPANOL

Medicar & Dental Historia (Español!)

New Pateen Registración - Adult (Español!)

New Pateen Registración - Child (Español!)

Notica Priva Practicas (HIPAA) (Español!)

FREE Adobe Acrobat Download