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Patient Forms


Front office desk at Poleski Family Dentistry Welcome to Poleski Family Dentistry, and thank you for choosing us to fulfill your dental needs! We try to use as little paper as possible in our practice, so we now offer digital patient information forms. Prior to your first appointment, please follow the link below to fill out our New Patient Forms. This information will help our staff during examinations and treatment. It is used to help us keep accurate dental records and process any dental insurance claims.

If you are unable to fill out the forms beforehand, please arrive 10-15 minutes prior to your scheduled appointment time to fill it out in the office. This helps to avoid any unnecessary delays in treatment.

New Patient Online Forms
Poleski Family Dentistry
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10am to 6pm
9am to 5pm
8am to 4pm
8am to 3pm
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Poleski Family Dentistry, 1209 PA-885, Jefferson Hills, PA 15025, 412 813-3131, poleskidentistry.com, 11/19/2021, Related Terms: dentist Jefferson Hills PA, dentist Jefferson Hills PA,