Patient Forms

If you are visiting Dr. Vitaly Friedman at our dental office in Basking Ridge, New Jersey, for the first time, then we invite you to fill out our patient forms. Completing these forms before your appointment at 21st Century Dental Care can help it to run more quickly. Please contact our dentist if you have any questions about the information needed on our new patient forms.

Financial Policy

HIPPA

Insurance Authorization Form

New Patient Information-Adults

New Patient Information-Children

Surgery Consent Form