FORMS

Below you will find the patient forms for your initial visit. These forms can be found in our office and/or can be filled out prior to your initial visit. 

Forms

Forms

Registration Forms

Click Here

Consent

Click Here

HIPAA

Click Here

Acknowledgment

Click Here

“You’re never fully dressed without a smile.”

– Martin Charnin.

Our Dental Clinic.

Illustration

Flushing Family Dental

136-14 Northern Blvd, Flushing, NY 11354

Working Hours

Monday 9:00 - 6:00 pm
Tuesday 9:00 - 6:00 pm
Wednesday 9:00 - 6:00 pm
Thursday 9:00 - 6:00 pm
Friday 9:00 - 4:00 pm

Contacts

+1 (718)-445-7030moc.liamg%40puorglatnedylimafgnihsulf

Navigation

Extras

Information

Our Info

    136-14 Northern Blvd, Flushing, NY 11354

    +1 (718)-445-7030

    moc.liamg%40puorglatnedylimafgnihsulf

    Mon-Thu 9AM - 6PMFriday: 9AM - 4PM

© Site Powered By Ecom Beyond

© 2025 Flushing Family Dental Group. All Rights Reserved.

Navigation

Extras

Information

Our Info

    136-14 Northern Blvd, Flushing, NY 11354

    +1 (718)-445-7030

    moc.liamg%40puorglatnedylimafgnihsulf

    Mon-Thu 9AM - 6PMFriday: 9AM - 4PM

© Site Powered By Ecom Beyond

© 2025 Flushing Family Dental Group. All Rights Reserved.