Patient Forms


 

As part of our team’s commitment to make your visit at Riverdale Dental Arts as simple as possible, we provide these patient forms for you to fill out in the comfort of your home. Please print out the appropriate form and fill it out before coming to visit our dentist in The Bronx, New York, for the first time. If you have any questions or need assistance, or if you are ready to schedule your next visit with Dr. Sheldon Kupferman, please do not hesitate to contact us. We are happy to help!

Patient Registration Form

Medical History

HIPPA Form

COVID Screening Form




Location
Riverdale Dental Arts
545 W 236th St
Riverdale

Bronx, NY 10463
Phone: 845-479-6927
Fax: 718-548-0400
Office Hours

Get in touch

845-479-6927