IMPLANT HOTLINE: 718-743-5400
Current Patients: 718-743-5400
2347 Coney Island Ave
Brooklyn NY 11223
Satellite Offices
Forest Hills
718-575-1010
Satellite Offices
Brooklyn Heights
718-783-2777

Dental Patient Forms

We’ll need the information on the forms below prior to getting started. Please download the form, complete it and bring it to your first visit. If you are not able to complete these forms prior to your first visit, please arrive 10 minutes before your scheduled appointment.

The forms are PDFs and require you have Adobe Reader to open them. (Nearly all computers have this. If you cannot open the form, you can download it here: Adobe Reader.)

COVID-19 Consent Form

Consent Form

Medical History

Medical Form

Pharmacy Information

Pharmacy Form

Insurance Release Form

Insurance Form

Privacy Notice

Privacy Notice
Oral and Maxillofacial Surgeons
Sheepshead Bay Oral Surgery, PLLC
2347 Coney Island Ave
Brooklyn, NY 11223

Dental Implant Hotline: 
718-743-5400

Current Patients, Referrals, & All Other Needs:
718-743-5400

[email protected]

Office Hours by Appointment:
Mon 9 am - 6 pm
Tue 9 am - 5 pm
Wed 9 am - 6 pm
Thurs 8 am - 5 pm
Fri 8 am - 5 pm
Sat 8 am - 2 pm
Sun 10 am - 4 pm
Schedule Appointment ›

Dental Implants

Are Dental Implants Right for Me?Are Dental Implants Affordable?About Dental ImplantsAll-on-4 ImplantsImplant Consultation

Dental specials

Dental Implant SpecialVirtual Dental Implant Appointments Available

Dental services

Bone GraftingOral PathologyIntravenous SedationWisdom Teeth Removal

Patient information

Patient FormsFinancial Information

About us

Dr. Dmitriy TokarDr. Boris ZatsDr. Boris GefonOur OfficeAdvanced TechnologyContact UsGive Us A ReviewReferring Doctors
© Copyright 2018. Sheepshead Bay Oral Surgery, PLLC. All Rights Reserved.
Language AssistanceNondiscriminationPrivacy Policy
lockbookexternal-linktwitterfacebookgoogle-pluslinkedinumbrellayoutube-playbuildingvimeo