New Patient Registration

Welcome to our practice

We recognize that your time is valuable. We will make every attempt to see you at your scheduled appointment time. To save time, download ourĀ New Patient Registration Form. This may be easily completed using your keyboard and mouse. Print the completed forms and fax them to us or bring them with you to your first appointment.

To print our New Patient Registration Form, please the button below (you will need Acrobat Reader to access the files).

Bensonhurst Dental Care is your leading Cosmetic and Restorative Dental Office located in the center of NYC.