Instructions:

Please click on the appropriate link below, print the form and email to SandlerDDSLipowDDS@gmail.com 

If you cannot do that, then fax it to our office at 631-864-7131

or mail it to our office.

Thank you.

If you need to you can download Adobe Acrobat Reader here.

Adult Health History Form

Consent to send me emails

Email me a copy of my x-rays

Email X-rays/records to another office

Minor Health History Form

Notice of Privacy Practices Policy

Release Form to send medical records to our office