Patient Forms

Western New York Dental Group strives to offer you the convenience you want and deserve from your dentist.

To save you time at our office and speed up your registration process, we ask that you complete your registration forms online and submit them via our secure connection.  Simply click on the links below and complete.

Once you have entered the information, please press the Submit button at the bottom of the form and wait for the message to appear on your screen that reads “Your forms have been successfully submitted”.

Account and Patient Registration

Dental History

Medical History

Child History

Patient Forms – Orthodontic Patients

The security and privacy of your dental health information is one of our highest concerns and we have taken every precaution to protect it.

Orthodontic patients, you do NOT need to fill out any of the forms in the section above. Please follow the BELOW link to complete your online paperwork.

Orthodontic Registration