New Patient Information
An exceptional level of care—starting with your first visit.
We’ve carefully designed every step of your first appointment
Prior to your scheduled appointment
Click on "Complete Forms Online" below to fill out and submit your medical/dental history form along with the HIPAA (patient privacy) form.
Please note that the information you will submit will be encrypted for your protection and goes directly to our office. We appreciate the time that you will spend providing the information helping us prepare for your visit.
Bring to your first appointment
Medical and Dental Insurance Card
Photo ID
New Patient Forms
The first visit to our office is designed to get you better acquainted with all we offer at Fairport Family Dental. We encourage questions and do our best to always deliver quality care.
A Practice Built Around You
From the moment you walk through our doors, our friendly team is focused on making your visit as comfortable and stress-free as possible. Our newly remodeled, state-of-the-art facility allows us to deliver efficient, precise care while maintaining a calm and relaxing atmosphere.
Whether you’re visiting us for a routine checkup, orthodontic care, surgical treatment, or dental implants, you can trust that your comfort and well-being are always our top priorities.
Comprehensive Care for Every Stage of Life
We are proud to offer a full range of dental services under one roof, making it easy for families to receive consistent, high-quality care in one convenient location. Our services include general dentistry, orthodontic treatment, surgical care, and dental implants—designed to meet your needs at every stage of life.
Dental Insurance
Our office is committed to helping patients maximize their dental insurance. Insurance policies vary, we can only estimate your coverage in good faith but cannot guarantee coverage due to the complexities of insurance contracts. We ask that you carefully read your insurance policy to be sure you are fully aware of any restrictions that apply to the benefits provided. Your estimated patient portion must be paid at the time of service. As a service to our patients, we will bill insurance companies for services and allow them 45 days to render payment. After 60 days, you are responsible for the entire balance, paid-in-full. If you have any questions, our courteous staff is always available to answer them.