Our Patient Forms | Regency Family Dental in Stamford
(203) 405-0985

Patient Forms

Going to the dentist can be an overwhelming experience, especially on your first dental visit. Let us put your concerns and anxieties to rest. Our goal at Regency Family Dental is to make every patient experience as comfortable as possible.

To make your visit as pleasant and brief as possible, there are a few things you should bring with you. Please bring any dental X-rays from the last six months to your first appointment.

With just a few simple forms, we’ll ask for relevant medical history, any medications you might be taking, your dental history, and any dental insurance coverage you may have.

Want to get a head start? Download the new patient forms below.

Pre- or Post-Op Forms:

These documents are in Adobe PDF format. If you’re unable to read PDF files, please  download free Adobe Acrobat Reader here.

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Our Happy Patients

"Excellent service provided by Dr. Shrotriya. Popped in and popped out. Very straight forward and not looking to have me spend on work or things I don't need. Very friendly staff and good atmosphere in office. Highly recommend to everyone who is looking for a nice dentist."

Deepesh S.

"Wonderful friendly service! Exceptional Dental knowledge, providing heartfelt care for their patients."

Shawndria A.

"My husband and I have both switched to Regency Dental and are so happy. I was so surprised with the level of care I received during my check up. I have never had a dentist spend that amount of time with me and conduct such a thorough exam! In addition, I have terrible sensitivity and they made sure that my appointment was comfortable. I highly recommend this practice!!!!"

Rachel D.
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