New Patient Information - Yonkers Avenue Dental - (914) 423-1900

Dr. Amit Rajani

We are excited to announce our partnership with The Smilist Dental. Click here to read a letter from Dr. Amit Rajani.

Dr. Amit Rajani > Patient Forms

Save time waiting in our office by filling out necessary forms online. Feel free to give us a call if you have any questions.

Page 1: Contact Information and Insurance (English)

Page 2-3: Dental and Medical History (English)

Page 4: Financial and Cancellation Policies (English)

Page 5: HIPAA and Consent Form (English)

Page 1: Contact Information and Insurance (Spanish)

Page 2-3: Dental and Medical History (Spanish)

Page 4: Financial and Cancellation Policies (Spanish)

Page 5: HIPAA and Consent Form (Spanish)

New Patient Packet - English

New Patient Packet - Spanish

Quick Links

Financing Options

Frequently Asked Questions (FAQs)

Hours, Location and Contact Information

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