Upon scheduling an appointment with our office you will be sent a secure link via text or email containing online forms. All online forms are secure and HIPAA compliant.
Prior to your visit, please complete the online forms from your mobile device or computer. You will be able to fill out a health history form, sign policy/consent forms, upload your insurance card, authorize another person (other than a parent/legal guardian) to attend an appointment with your child and much more!
If you choose to use a paper form, simply print and complete the form below.
New Patient Forms (pdf)
DownloadInfection control has always been a top priority for our practice and you may have seen this during your visits to our office. Our infection control processes are made so that when you receive care, it’s both safe and comfortable. Our office follows infection control recommendations made by the American Dental Association (ADA), the U.S. Centers for Disease Control and Prevention (CDC) and the Occupational Safety and Health Administration (OSHA).
For the well-being and safety of our patients and staff, if your child is not feeling well, please call to change your appointment. Additionally, if you or anyone in your household is sick or has had Covid in the last 7 days, please call our office to reschedule.
Please inform us of an updated address, phone number and/or insurance information during your check-in at the front desk.
We look forward to seeing you and are happy to answer any questions you may have about our practice.
Thank you for being part of our dental family!
Duxbury Children's Dentistry
95 Tremont Street-Suite 18, Duxbury, MA 02332
Tel. 781-934-7111 Fax. 781-934-7125
COPYRIGHT © 2025 DUXBURY CHILDREN'S DENTISTRY, LLC