Patient Registration

Please download and complete the Medical and HIPAA forms and return them to our office.

Medical and HIPAA forms

Patient Information

Scheduling
First Visit
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There Are Many Ways To Contact Our Office

Mailing Address

Frank Reemer DDS, PC
446 Route 304 Suite A
Bardonia, NY 10954

Phone: Frank Reemer, DDS, P.C. Phone Number (845) 624-3188

Fax: (845) 215-5850

The first step towards a beautiful, healthy smile is to schedule an appointment. Please contact our office by phone or complete the appointment request form below. Our scheduling coordinator will contact you to confirm your appointment. If you are an existing patient, this contact form should not be utilized for communicating private health information.

Your Name*
Your E-mail Address*
Your Phone Number
I am interested in
- Scheduling Appointment
- Bonding
- Porcelain Veneers
- Dental Implants
- Teeth Whitening
Best Time for Appointment
- Morning
- Afternoon
Preferred Day of Week
- M
- T
- W
- Th
- F
How did you hear about us?
Comments/Questions

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Serving the Bardonia area.

Frank Reemer DDS, PC

Address:
446 Route 304 Suite A
Bardonia, NY 10954

Phone: (845) 624-3188
Fax: (845) 215-5850

Also Serving These Nearby Locations
New City NY • Pearl River NY • Montvale NJ • Nyack NY • Upper Saddle River NJ
Suffern NY

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