Eberhardt Dental
Family Dentistry with a Cosmetic Touch
Welcome to our virtual office
Call: (570) 424-2445

Patient Forms

Please download and fill all forms before coming in for your appointment . 

If you have any questions at all while completing the paperwork to call our office at (570) 424-2445.

 

 Patient Info Card

 Patient Medical Info

 Financial Responsibility Page

 Treatment Consent Form

 HIPPA

 Patient Copy of Privacy Practice Packet

 Cancellation Policy