(215) 234-7644

Patient Forms

Going to the dentist can be an overwhelming experience, especially on your first dental visit. Let us put your concerns and anxieties to rest. Our goal at Premier Dentistry of Philadelphia is to make every patient experience as comfortable as possible.

To make your visit as pleasant and brief as possible, there are a few things you should bring with you. Please bring any dental X-rays from the last six months to your first appointment.

With just a few simple forms, we’ll ask for relevant medical history, any medications you might be taking, your dental history, and any dental insurance coverage you may have.

Want to get a head start? Download the new patient forms below.

These documents are in Adobe PDF format. If you’re unable to read PDF files, please download free Adobe Acrobat Reader here.

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Our Happy Patients

"Premier Dentistry is by far the best dental practice around, and especially convenient if you live and/or work in Center City Philly. Would highly recommend to anyone looking for prompt, professional, and fantastic customer service in their dental experience."

Sherwood J.

"When I came to this practice, I had a lot of dental work to get done. I hadn't been to the dentist in quite awhile. Dr. Shamloo and Dr. Ram were patient, gentle, and caring. They explained everything in detail and took their time to make sure everything was perfect. I highly recommend this office."

Amy M.

"Wow!! For my first check up in over a year, I was a bit nervous. Luckily everyone in the office was so friendly and made me feel like part of their family. Everything went smooth and I felt at ease getting my treatment done, which has not been my experience with my prior dentists. Dr. Ram explained exactly what was going on and made sure I felt comfortable. I had a ton of questions and Michelle was really understanding and knowledgeable. Everyone in the office seemed super friendly especially Amy at the front desk! I'd highly recommend them for anyone looking to get quality dental care in a stress free way! :)"

Michele K.
We're here to help you get the perfect smile!
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