Brooklyn Heights Oral Surgery, PLLC

IMPLANT HOTLINE: 000-000-0000
Current Patients: 718-783-2777
32 Court Street, Suite 1100
Brooklyn NY 11201
Satellite Offices
Forest Hills
718-575-1010
Satellite Offices
Sheepshead Bay
718-743-5400

Dental Patient Forms

We’ll need the information on the forms below prior to getting started. Please download the form, complete it and bring it to your first visit. If you are not able to complete these forms prior to your first visit, please arrive 10 minutes before your scheduled appointment.

The forms are PDFs and require you have Adobe Reader to open them. (Nearly all computers have this. If you cannot open the form, you can download it here: Adobe Reader.)

COVID-19 Consent Form

Consent Form

Medical History

Medical Form

Pharmacy Information

Pharmacy Form

Insurance Release Form

Insurance Form

Privacy Notice

Privacy Notice
Brooklyn Heights Oral Surgery, PLLC
Oral and Maxillofacial Surgeons
Brooklyn Heights Oral Surgery, PLLC
32 Court Street, Suite 1100
Brooklyn, NY 11201

Dental Implant Hotline: 
000-000-0000

Current Patients, Referrals, & All Other Needs:
718-783-2777

[email protected]

Office Hours by Appointment:
Mon 11 am - 6 pm
Tue 10 am - 6 pm
Wed 10 am - 6 pm
Thurs 10 am - 6 pm
Fri 9 am - 3 pm
Schedule Appointment ›

Dental Implants

Are Dental Implants Right for Me?Are Dental Implants Affordable?About Dental ImplantsAll-on-4 ImplantsImplant Consultation

Dental specials

Dental Implant SpecialVirtual Dental Implant Appointments Available

Dental services

Bone GraftingOral PathologyIntravenous SedationWisdom Teeth Removal

Patient information

Patient FormsFinancial Information

About us

Dr. Dmitriy TokarDr. Boris ZatsDr. Boris GefonOur OfficeAdvanced TechnologyContact UsGive Us A ReviewReferring Doctors
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