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

Comments are closed.

  • Testimonials

    • My family and I have been a client for over 20 years, and never miss an opportunity to recommend this practice to others. As a white-knuckle dental patient, I actually look forward to coming in for routine and non-routine services.
      Tammy F.
    • Going to Avon Village Family Dentistry is always an excellent experience!!!
      Rosanne H.
    • All of the staff is extremely friendly and helpful! As a new patient it was easy to make an appointment and get all the paperwork I needed! Dr. Weston is the best! As someone that is always a little uneasy at the dentist she is great with explaining everything and understanding my concerns. I feel […]
      Bailey D.

  • 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.