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New Patient Forms

For your convenience, you may complete the new patient forms ahead of time. Please bring the completed form and bring it to your first appointment with Dr. Han. 

 

If you have questions about filling out these forms, please call our front desk

(973) 887 - 7444 – We are happy to help!

Patient Information Form

Release Form

Instructions
1. Download the 2 forms

2. Fill it electronically and send it to contact@christinehandds.com or Print and bring the completed form to your first appointment

Insurance

We participate in:

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Delta Dental

Aetna 

Metlife

Cigna 

Other Major Insurance Plans 

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Please contact our office if we participate with your dental insurance.

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