Legacy Family Dental
  • About
  • Who We Are
  • What We Do
  • Teeth Whitening
  • Contact Us / Payment
  • PATIENT FORMS
  • More
    • About
    • Who We Are
    • What We Do
    • Teeth Whitening
    • Contact Us / Payment
    • PATIENT FORMS
Legacy Family Dental
  • About
  • Who We Are
  • What We Do
  • Teeth Whitening
  • Contact Us / Payment
  • PATIENT FORMS

NEW PATIENT FORMS

First time at our practice?  After reserving an appointment for your first visit (by phone), please fill out the online patient forms below, prior to your visit.   For your privacy and safety, all information entered is encrypted and stored securely at our practice.

NEW PATIENTS- Adult
NEW PATIENT- CHILD

Legacy Family Dental

1761 West Broad Street, Stratford, CT 06615

(203) 375-3763

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