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Patient Forms

Patient Forms

Please take a few minutes to print and fill out the patient information forms before your first appointment.

PROSTHODONTICS AND DENTAL PATIENTS

  • Patient Form (Child) PDF | DOC
  • Patient Form (Adult) PDF | DOC
  • HIPAA Form PDF

ORTHODONTICS PATIENTS

If you’re unable to open PDF files, you can get Adobe Reader® for free.

What our patients are saying 
Dr. Raina has been an outstanding orthodontist for me! I needed upper and lower braces as an adult and she made the entire process a fantastic experience! The entire office staff is so kind, patient, and personable! Another plus is having my dentist, Dr. Nodesh, in the same office so cleanings and routine dental checkups could overlap on the same day as orthodontic appointments.
Rhonda J
I’ve been going here for nearly 35 years, and that isn’t going to change anytime soon. The staff is very professional and friendly.
Will H.
Very friendly and collegial staff. Dr. Nodesh was very kind and explained me my treatment plan in detail. Highly recommended
Shilpa D
 Best most thorough and least pain giving dentist I’ve ever experienced. I am 74 years old, blessed with excellent teeth and am particular about them. The office is equipped with the latest medical equipment and accessories. If you are in the market for a new dentist, this is the place. 
Amos A.
Dr. Nodesh and his staff are great. I have never had a dentist who is more meticulous and committed to making sure everything is done correctly and looks great. Thanks Doc
Dorri K.
"I have been a long time patient of Beaches Dentistry. I HIGHLY recommend this practice. My experience includes both routine cleaning and checkups..."
Russ
"So kind, endlessly chatty (which I love), intelligent, funny, and engaging. They obviously love their jobs! And their attitude is infectious."
Win C.
"Dr Nodesh at Beaches Dentistry is amazing! He explains the treatment plan clearly and answers all questions before he commences. Never in a rush."
Nasrin R.
"I could not be happier thus far with my past 3 visits to Beaches Dental. Dr Nodesh has a relaxed, yet professional bedside manner."
Alicia C.
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