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
Request An Appointment
We invite you to schedule an appointment at our full-service dental office so you can experience our high-end cosmetic, restorative, and general dental care.
413 King George Rd #201, Basking Ridge, NJ 07920
Call Today! (908) 604-5959
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Tel: (908) 604-5959 | 413 King George Rd #201, Basking Ridge, NJ 07920
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