732-295-1616

2095 Highway 88 East
Brick, NJ 08724

If you are new to our practice please click on and fill-out our Dental Questionnaire, once completed you may hit submit. The form will be sent to us using a secure site, we will print your forms for you. If you would like to fill out the Financial Policy and Office Consent Forms, please download, print and sign. After you have completed those forms, please make sure to bring them on your first visit to our office. You may also sign the forms in the office at your initial visit if you prefer. You may print the Notice of Privacy Practices for your records. The security and privacy of your personal data is one of our primary concerns and we have taken every precaution to protect it.
 
To complete the online forms you must use the Google Chrome web brower. Click Here to download.
 

If  you are an existing patient and are coming in for your recall preventative appointment, please fill out a patient history update form  and bring it with you to your appointment.

Other services:

If you have questions about our patient forms or to schedule your appointment with Dr. John Tortora and Dr. Travis Smith in Brick, New Jersey, please contact our office at 732-295-1616.

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