(631) 247-0977

Long Island Dental Specialty
23 Southdown Road, Huntington, NY 11743

New Patient Forms

Thank you for choosing our dental office. We will need some information about you to get started. To reduce your waiting time during your visit, we have provided these forms that you can complete prior to your appointment.

We encourage you to fill out our online New Patient Registration Form prior to your scheduled appointment.

If you prefer, you may download and print the new patient history forms by using the links below. Please bring the completed forms with you to your appointment.

These forms require Adobe Acrobat Reader.

Download Acrobat Reader

Downloads

Medical History

For all new and existing patients. Please complete and bring with you to your next appointment. Download Form

Consent to Receive Mail, Email and/or Phone Messages

Please complete and bring with you to your next appointment. Download Form

Our patients leave smiling



Dr. Kapoor is excellent. She is professional and compassionate The office is immaculate. I highly recommend her. The office manager and office help are pleasant and extremely helpful. I couldn’t ask for more.

Gaiil G.

Read more reviews

Request an appointment today

Call our office at (631) 247-0977

Request an Appointment Online

Site Navigation

Office Hours

  • Monday
    6:30 AM – 7:00 PM
  • Tuesday
    6:30 AM – 7:00 PM
  • Wednesday
    6:30 AM – 7:00 PM
  • Thursday
    6:30 AM – 7:00 PM
  • Friday
    6:30 AM – 6:00 PM
  • Saturday
    8:00 AM – 4:00 PM
  • Sunday
    Closed

Appointment request

New patients are welcome! To request an appointment use our online form or call:

(631) 247-0977

Our Location

Long Island Dental Specialty

23 Southdown Road, Huntington, NY 11743

(631) 247-0977