Our Dental Services

Dental Patient Forms

Relax at our Suffern dental office.  Complete these dental forms now.

Patient History Form 
Download: patient_history.pdf

HIPPA Privacy Statement
Download: HIPPA - PRIVACY.pdf

Patient Information Form
Download: patient_information.pdf

Privacy Practices
Download: privacy_practices.pdf

Sleep Questionnaire 1
Download: sleep_questionnaire.pdf

Sleep Questionnaire 2
Download: sleep_questionnaire2.pdf

Pain Questionnaire
Download: pain_questionnaire.pdf

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The Hindin Center is a dental and whole health practice offering service to Suffern, Manhattan, New York City (NYC), Spring Valley, Mahwah, Chestnut Ridge, Montebello, Upper Saddle River, Nyack, Nanuet, Grand View-On-Hudson, Elmsford, Greenburgh, Ardsley, Bryn Mawr, White Plains and the Manhattan.


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Jeffrey S. Hindin, DDS

Howard G. Hindin, DDS

Jill I. Meyer, DDS

 

2 Executive Blvd.

Suite 206

Suffern, NY 10901

 

845-357-1595 tel

845-357-2428 fax

 

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