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Our primary concern is your health and safety. We follow infection control recommendations made by the American Dental Association (ADA), the CDC and OSHA.

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Patient Information and Health History Form

CONTACT US

Phone: 203-978-1184
Fax: 203-978-0100
Email: frontdesk@schintodental.com

ADDRESS

2001 W Main St
Suite 110
Stamford, CT 06902

OFFICE HOURS

Mon-Weds: 8:00 am – 7:00 pm
Thursday: 8:00 am – 4:00 pm
Fri-Sun: CLOSED

PATIENT FORMS

Authorization for Third Party Disclosure of Information and Consent to Treatment of a Minor
Consent for Internet Communications
Covid-19 Pre-Screening Form
HIPAA Notice of Privacy Practices
Patient Information and Health History Form
Office Policies
Oral Cancer Screening Consent Form
Personal Health Information Disclosure Agreement

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