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Patient Forms

Below are PDF forms for our patient families to download, fill out and send to our office depending on which you require. If you are unable to fill out the New Patient Packet prior to your first appointment please arrive 15 min prior to do so.

Packets:

New Patient Packet

New Insurance Information

Authorization to Keep Credit Card On File

Authorization for Non Legal Guardian to Bring Child


You can send these forms either by texting, emailing, faxing or mailing them to the appropriate office:

Scarborough

Text: 207-883-4203
Email: patientcare@jfkdentistry.com
Fax: 207-883-9068
Address: 300 Technology Way
Scarborough, Me 04074

Windham

Text: 207-219-8602
Email: windham@jfkdentistry.com
Fax: 207-892-1174
Address: 4D Commons Ave
Windham, Me 04062