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Dental Arts of Avon is dedicated to making your patient experience as convenient as possible! One of the ways that we do that is by helping you prepare for your dental appointment in Avon, Connecticut, by providing our patient forms here. You can download, print and fill out your forms at your own pace in your own home and bring them with you to your appointment with our dentists, Dr. Rubina Ali and Dr. Alphonso Mack. For added convenience, you can also complete and submit your forms to our office electronically from this page. If you choose the electronic option, you will need to access your patient forms with the Google Chrome browser to ensure that your information is secure.

Cancellation Notice

Medical History Form

Notice of Privacy Practices

Patient Registration

Records Release Form DAOA

Completing your forms before your appointment allows you to relax and spend less time in our waiting room and more time with our team creating your new smile. It also gives our dentists the chance to review your medical history prior to your visit in order to design your treatment plan. If you have questions or need help completing your patient forms, please call us at 860-284-4411, and we will be happy to help.