Patient Forms

Our staff wants to make it as easy as possible for new patients coming to our dentist office. One of the ways we do this is by making our new Bergen County patient forms available online.

That’s one less thing you’ll have to worry about when you come for your first visit. We don’t want you having to juggle your driver’s license, insurance card, and other belongings while filling out paperwork.

Just fill out these forms ahead of time at your convenience and bring them with you to your appointment. If you have any questions on new patient forms, payment options, or anything else, give us a call at 201-366-7001 for our Hackensack office or 201-347-1417 for our Tenafly office. Our friendly crew will be glad to help!

GET YOUR FREE CONSULTATION

Contact us today and get a 100% free first dentist consultation.
Silvia Prado
Silvia Prado
16:02 29 Aug 22
Very friendly staff. I'm a nervous rack when it is about going to the dentist, but doctor made me feel calm. I highly recommend this place
Andrew Chiang
Andrew Chiang
12:20 09 Aug 22
My wife is a patient of Dr LePera.and she praises Dr Le Pera for being very attentive to his patients. He takes the time to explain carefully the procedures or any questions with great bedside manners.
Lourdes SOTO-ORTIZ
Lourdes SOTO-ORTIZ
19:39 04 Aug 22
It takes alot for me to trust a dentist but Dr Lepera is great I wouldn't change him for any other. Great staff. Very clean place. I'm a happy and satisfied patient. The hygienist is also great. I recommend this office to anyone.
Barbara Brucaliere
Barbara Brucaliere
16:07 07 Jul 22
Excellent! No patient prior, took me immediately for toothache. Diagnosed, temporary relief, all ointment scheduled to proceed. Staff very efficient and helpful. Dr Drew kind, gentle and knowledgeable. Transferring my two adult children there also.
Selyna Soto
Selyna Soto
20:03 25 May 22
Amazing!! I took my daughter here and me and her both had a great experience. Front desk was very friendly and explained any out of pocket costs my insurance did not cover. No surprises, everything went smooth from check in, to my cleaning with the hygienist, to exam by Dr. Drew.
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Hackensack

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