At Steven S. Shaw D.M.D, we offer patient forms online so you can complete them in the convenience of your own home or office. Fax us your printed and completed forms or you may bring them during your visit.
New Patient Form
Download & Print Fill Out Online
Authorization to Release Protected Healthcare Information
Download & Print Fill Out Online
Patient Release Form
Download & Print Fill Out Online
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Notice: Steven S. Shaw D.M.D., P.C., complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, sex, or age. If you speak English, the language assistance services are complimentary. (French): Si vous parlez français, des services d’aide linguistique vous sont proposés gratuitement.(Spanish) : si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística.