Forms

We are happy to offer our forms and applications for download.  Please feel free to print these and fill them out at your convenience before your visit.  Please do not email these forms over the Internet.

Health History

This form needs to be filled out before your first dental appointment.
Click here to download (207KB)

HIPPA Letter

This form is for your general information as required by federal HIPAA laws.
Click here to download (217KB)

Notice of Privacy Practices

This document is for your general information as required by federal HIPAA laws.
Click here to download (23KB)

Notice of Privacy Practices for New Patients

This form needs to be filled out before your first dental appointment.
Click here to download (86KB)

 
If you are unable to view the pdf files, please click on the icon below to download and install Adobe Reader:

Oakmont Dental Associates
154 Allegheny River Blvd
Oakmont, PA 15139-1895
Get Directions
 
Phone: (412) 828-7750
Fax: (412) 828-3678
 
Third generation Oakmont dentist
 
Email:
oakmontdental@msn.com
 
Office Hours:

Mon 2:00pm - 8:00pm
Tues 2:00pm - 8:00pm
Wed 7:00am - 1:00pm
Thur 7:00am - 1:00pm
Fri 7:00am - 1:00pm