Patient Information


Your first visit to Amherst Family Dental establishes a vital foundation for our relationship with you. During the first visit, we make sure to obtain important background information, like your medical history, and give you time to get to know your doctor. To understand what to expect for your first visit to our practice, please read through this page. You’ll find all the practical information you need, such as a map and directions to our office, practice hours, payment policies, and more. There’s also background information about our committed staff and our first visit procedures. You can even save some time at your first visit by printing out and completing the patient forms in advance of your appointment.

Patient Forms

Please print and fill out the following form so we can expedite your first visit: Health History

Please review the following HIPAA Privacy Statement prior to your appointment.

In order to view or print this form, you may need Adobe Acrobat Reader. Download here.

Payment Options

We accept checks, cash, or all major credit cards. We also offer Care Credit. Care Credit is a credit card that can only be used for medical purposes. It gives patients the option to pay for the medical or dental bill in smaller monthly payments if you cannot afford to pay it all at one time.

Care Credit offers special financing options so you can avoid paying interest by making your minimum monthly payments and paying the full amount due by the end of the promotional period. Please call this toll-free number (800) 677-0718 to apply today.

Appointments & Cancellations

If you are unable to attend your scheduled appointment, we request at least a 48-hour notice so we can allow time for our team to update our schedule.

Request an Appointment