University Dental Health Services - New Patient Forms

**Note, Adobe Reader is required to view and edit these forms. If you do not have it, download it here or check www.adobe.com for the latest version of Adobe Reader

Sending information to UDHS (Please fill out the form for the location you are receiving treatment at, using the following instructions):

  1. Click the link to the form that you would like to submit.
  2. Fill in the information as completely as possible.
  3. Click the print button to print out a copy and then bring it with you on your next visit.
Salk 3189 location Oral Surgery Montefiore