Patient Info & Forms | Hawthorne NJ Dentist | Rauzman DDS

Serving the areas of Hawthorne, New Jersey (NJ).

Patient Info & Forms

We understand how busy you are and this is why we now make our new patients forms available online, providing you with the option of completing them at your leisure in the comfort of your own home. Simply print them out, fill in your information, and bring them in during your first visit.

Patient Information Form

Medical History Form

Financial Information

Financial planning for what can be a substantial purchase is important and we would like you to be well informed about the cost and payment options that are available to you. We accept:

  • Cash
  • Check
  • Credit Card (VISA, Master Card, American Express, DISCOVER)
  • Debit Card

If any of the above forms of payment are not options for you at this time, we also offer financing through outside financing companies.

LINKS TO CREDIT ONLINE:

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