Apollonia Dental
Healthy Mouth - Dazzling Smile!
Apollonia Dental

Patient Forms

Patient Registration

Medical History

Custom Treatment Planning Questionnaire

HIPAA Policy

HIPAA Policy Acknowledgement

Print and Fill Out - Record Request Form to get xrays etc. from your previous dentist.

Print and Fill Out - Cavity Risk Assessment Form

Have Questions? Get in Touch
If you have difficulty using our website, please email us or call us at (860) 704-8000
View the ADA Accessibility Statement
We're Here For You -  Dental Care and Coronavirus Precautions - Keeping Everyone Safe