Forms

You must download the forms onto your computer/device in order to electronically fill them out. (Note: some computer systems may not allow this).

You can e-mail completed forms to info@cortesadvanceddentistry.com, or bring in the hard copy when you come for your appointment.

We look forward to seeing you!

New Patient Forms - Click Here

For all new patients

TMDX Form - Click Here

For Patients with Pain, TMJ,

Sleep Breathing Disorders, or for oral expansion

COVID-19 Questionnaire - Click Here

For all Patients

ALF Evaluation - Click Here

For children ages 3-12 with Pain, TMJ, Sleep Breathing Disorders, myofunctional or for oral expansion

Address:

120 Central Park South, Suite 1G

New York NY 10019

P: 212-262-0950 | F: 212-262-0947

Office Hours:

Monday - Thursday: 8:00am - 6:00pm

Friday - Sunday: Closed