Patient Forms

The following forms can be downloaded for new patients to bring into the office on the first visit or for existing patients that need to update information. Please print them out and fill in all the details at your convenience before your appointment to save time. Please click on both the links below to download all the forms needed.

Updated June 2011 with new patient info forms.

1. Patient Information

2. Financial Policies and Procedures

3. Notice of Privacy Practices

4. Patient History

CLICK HERE TO GET THE .PDF of all these forms above and the HIPAA agreement in one printable format. 

Please call the office and ask for help if you have trouble with filling out the information. Thanks!

Welcome to Village Dental

Village Dental, located in Ridgefield Park, New Jersey, offers personalized care and the utmost quality in dental services for each patient. Dr. Kathleen Arzinger and her team provide comprehensive treatment in all areas of general dentistry including teeth whitening, dental implants, veneers, dental cleaning, root canals, sleep apnea, dentures, and Invisalign. If there is a dental emergency, Village Dental makes every effort to see patients as soon as possible.

At Village Dental, preventative care and education are encouraged to promote optimal dental health. Exams are thorough with an in-depth look at teeth and gums, performing oral cancer exams, and taking x-rays when necessary. As your dental health professionals, Village Dental prides themselves on bringing patients a relaxing and positive experience through skilled technicians, friendly staff, and using standards recommended by the American Dental Association (ADA), the Occupational Safety and Health Administration (OSHA), and the Center for Disease Control (CDC).

New patients are welcome and most forms of insurance are accepted. Call or stop by today for more information or to schedule an appointment.

Read more

Village Dental, located in Ridgefield Park, New Jersey, offers personalized care and the utmost quality in dental services for each patient. Dr. Kathleen Arzinger and her team provide comprehensive treatment in all areas of general dentistry including teeth whitening, dental implants, veneers, dental cleaning, root canals, sleep apnea, dentures, and Invisalign. If there is a dental emergency, Village Dental makes every effort to see patients as soon as possible.

At Village Dental, preventative care and education are encouraged to promote optimal dental health. Exams are thorough with an in-depth look at teeth and gums, performing oral cancer exams, and taking x-rays when necessary. As your dental health professionals, Village Dental prides themselves on bringing patients a relaxing and positive experience through skilled technicians, friendly staff, and using standards recommended by the American Dental Association (ADA), the Occupational Safety and Health Administration (OSHA), and the Center for Disease Control (CDC).

New patients are welcome and most forms of insurance are accepted. Call or stop by today for more information or to schedule an appointment.


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Testimonials

Words from our patients

  • Yelp

    "Their dentistry is top notch. We have been patients for well over 5 years and will never switch to another practice."

    Eileen P.
  • Yelp

    "Outstanding dental team! Caring and thorough. Always conservative in approach looking for the best solution for the patient."

    Helen D.
  • "I love going to Village Dental. The entire Dental team is very knowledgable, friendly, & professional."

    Jason H.
Ask us

Feel free to email us regarding any scheduling or general questions!

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Hours

Village Dental
255 Main Street
Ridgefield Park, NJ 07660