Book online

Book onlineBook online

NEW PATIENT

FORM

  • PATIENT INFORMATION


  • DENTAL HISTORY

  • CONFIDENTIAL MEDICAL HISTORY

  • Have you ever been treated for:

  • Have you ever tested positive for:

  • The above information is complete to the best of my knowledge and I have not omitted any pertinent information.

Natalia Bradu
Natalia Bradu
14:55 26 Apr 17
I would like to highly recommend dr Adam to anyone who's looking for a professional and cost effective dental implants expert. Great staff, very easy going process. Thank you again
Shamil Shamilov
Shamil Shamilov
13:11 26 Apr 17
Great experience! I always enjoy my visits here. Staff is friendly and service is above all expectations. Highly recommended!
Yulia Rebarbar
Yulia Rebarbar
13:13 26 Apr 17
My mom got 2 dental implants at this dental clinic and she is very happy with the results. The price was reasonable and the service was outstanding.
Andrew B
Andrew B
13:31 26 Apr 17
I can say nothing but Thank you to Adam Chapnik and his team. Very professional and friendly team and each appointment was pleasant and easy.
See All Reviews