Cosmetic and Reconstructive Dentistry

Call (203) 255-6878

new patient forms

For your convenience, our New Patient Forms are available for download here in Adobe Acrobat PDF format. The Adobe Acrobat Reader is FREE and can be downloaded by clicking on the icon below.

Please print and complete these forms at home before your first appointment. If you need assistance with downloading or printing these forms, please contact our office.

 Call for an appointment:
(203) 255-6878

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Cosmetic and Reconstructive Dentistry
Practice Photo

Dr. Donald W. Miller

Dr. Salvatore Korecki

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Cosmetic and Reconstructive Dentistry
1275 Post Road, Suite 201
At the Brick Walk
Fairfield, CT 06824
General Info: (203) 255-6878

 Call for an appointment:
(203) 255-6878

Make an Appointment