New Patient Forms – Avon Village Family Dentistry 860-678-1140

These forms are available to be downloaded. If you are a new patient you can complete them at home, and bring them to the office on your first visit.

Online Forms:

Patient Intake Form

Medical History (Men)

Medical History (Women)

Release Records to AVFD

 

 

 

new patient forms

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  • Testimonials

    • I’ve been to several dentists office during my lifetime. However, Avon Village Family Dentistry is the best. Their professionalism, politeness and service place’s them head and shoulders over the competition. I would recommend them highly to all my colleagues and friends.
      Walton R.
    • As usual Krista greeted me with a big smile, Jen came out within a minute to take me for my teeth cleaning. Love Jen – she is professional, friendly, gentle and does an excellent job! Dr Mentasti and Dr Sagalyn are excellent dentists, conservative and all about saving your teeth!! I highly recommend Avon Village […]
      Lee M.
    • The visit a couple weeks ago was my first time at the office and it was great. Very comfortable, friendly and the staff was very nice. Will definitely suggest them to friends etc 👍🏻
      M Nevins.

  • Company Profile

    Dr. Mentasti, Dr. Weston, and Dr. Sagalyn are committed to the dental health of you and your family. Come in and see why they are one of the most respected dental practices in Connecticut.