REGISTRATION FORM

Eten Dental wants to make our paperwork process as streamlined as possible. You’re busy, and you don’t always have time to fill out long forms in our office. We’re happy to provide our patient paperwork below. Simply fill out the form, print it and then bring it to your appointment. Having the information available when you arrive at our office will reduce your wait time and let us know exactly what we need to know for your oral health.

You’re still welcome to fill out the paperback at our office on the day of your appointment, and we can answer any questions that may arise. Please show up at least 15 minutes early prior to your appointment to complete the paperwork. Click here for a PDF copy in English, Spanish or Korean languages.

Please contact us with any questions, or if you’re interested in making an appointment.

218-14 Northern Blvd, #104
Bayside NY 11361
Mon.: 10:00 am - 7:00 pm
Tue.: 10:00 am - 7:00 pm
Wed.: 10:00 am - 6:00 pm
Thu.: 9:00 am - 6:00 pm
Fri.: 9:00 am - 6:00 pm
Sat.: 8:00 am - 3:00 pm





Healthy Mouth Tips

The Benefits of Dental Implants

The Benefits of Dental Implants

When you lose a tooth, what are your options? For many years, you had three: wear dentures, get a bridge, or just leave it as is. For most patients, each of these three options left things to be desired. However, now dental implants are a fourth option available to...

The Benefits of Dental Implants

When you lose a tooth, what are your options? For many years, you had three: wear dentures, get a bridge, or just leave it as is. For most patients, each of these three options left things to be desired. However, now dental implants are a fourth option available to...

read more
What to Know about Orthodontics

What to Know about Orthodontics

At Eten Dental, we realize that you may not know exactly what orthodontics is and that is okay. It is a dental specialty that is used to help correct a patient’s teeth when the teeth are not in the proper place. If you think of crooked teeth or misalign teeth, you...

What to Know about Orthodontics

At Eten Dental, we realize that you may not know exactly what orthodontics is and that is okay. It is a dental specialty that is used to help correct a patient’s teeth when the teeth are not in the proper place. If you think of crooked teeth or misalign teeth, you...

read more