Patient Forms

Providing medical care of any kind requires a lot of paperwork. But we know your time is precious, so we offer our paperwork online to fill out at your convenience any time before coming to an appointment. Just fill out, print, and bring to your appointment or email a copy to our secure email at


●Adult New Patient Package – 14+ years of age

●Child New Patient Package – 1-13 years of age



●Medical History Update – must be completed annually



Mon - Fri: 7:50am - 5:30pm

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Pittsfield Tel: 413-445-6680| Fax: 413-443-3680

Hillcrest Dental Care - Committed to YOU!

© 2017 by Hillcrest Dental Care. All rights reserved.

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788 South Street

Pittsfield, MA 01201


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