Patient Forms

For your convenience, you may fill out and submit the following forms online, or print and bring them to your next appointment:

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These forms require Adobe Acrobat Reader to view. If you do not have Adobe Reader already installed on your computer, click the Adobe logo above to download.

  
Drs. Pellittieri and Alag provide general and cosmetic dentistry in northwestern New York, including Webster, Penfield, Irondequoit, Ontario,
Walworth, Pittsford and the surrounding areas.


Dr. Peter Pellittieri | Dr. Navjot K. Alag | 1630 Empire Blvd., Suite 3 | Webster, NY 14580 | Tel: (585) 671-0770 | Fax: (585) 671-1750
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