Patient's Area

If you would prefer, you can print out, complete and sign our patient forms to speed up checking-in for your first visit so we can get you in to see Dr. Buchwald as soon as possible.  If available, please remember to bring in your insurance card when you come in, so we may make a copy of it for our records.

Description Last Updated Download
Welcome Form Please fill this out and turn it in at the front
desk when you arrive for your appointment.		 3/1/2009 Here
Registration Form Please fill this out and turn it in at the front
desk when you arrive for your appointment.		 3/1/2009 Here
HIPAA Notice
of Privacy
Practices		 Please fill this out and turn it in at the front
desk when you arrive for your appointment.		 3/1/2009 Here
Nota de HIPAA
de Practicas
de Intimidad		 Por favor, rellene esto y convertirlo en en la
parte delantera escritorio cuando usted llegue
a su cita.		 3/1/2009 Aqui
Financial Policy
Form		 To keep our fees as low as possible, payment
is expected on the date services are initiated.
In some instances, we may ask that you prepay
for your dental services to reserve special
appointment times... This form needs your
signature.		 1/1/2008 Here
Credit Card
Pre-Authorization
Form		 This optional pre-authorization policy was
created in response to many of our patient's
desire to not be billed for small balances on
their accounts remaining after all insurance
payments have been made. As a convenience to
you, this form provides us with the authorization
to charge your credit card for outstanding
balances up to $99.00 if this occurs.		 1/1/2010 Here
Documents are in .pdf format. Adobe® Acrobat® Reader®
is free software that lets you view and print Adobe Portable Document
Format (PDF) files. Click here to download it for free.

Read All About It!Dr. Max Buchwald is great with children.  Adults too!  See the newspaper article telling how kids love him.  He takes the fear out of going to the dentist.  You'll feel at ease knowing Dr. Buchwald is concerned with your comfort.
Invisalign is clearly your best choice for a better smile!Invisalign® is the best way to transform your smile without interfering with your day-to-day life. Check out the benefits here.