New Patient Intake Form

Patient intake and new patient forms are essential documents that help us gather important information about you and your dental health history. These forms provide us with details such as your contact information, medical history, allergies, medications, and dental insurance coverage.

By completing these forms, you help us understand your unique needs and provide personalized care. We offer convenient online or paper-based forms to streamline the intake process, ensuring that we have all the necessary information before your first visit. Your thorough completion of these forms enables us to deliver the highest quality of care and create a customized treatment plan tailored to your specific requirements.

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Contact Us

Advanced Dental Partners
401 Port View Dr.
Suite B
Harrisburg, PA  17111
Office: 717-564-7010


Office Hours

Monday: 8:00am – 6:00pm
Tuesday: 9:00pm – 5:00pm
Wednesday: 8:00am – 6:00pm
Thursday: 8:00am – 5:00pm
Friday: 8:00am – 1:00pm
Saturday: 9:00am – 1:00pm (Occasional)