980 Beaver Grade Road, Suite 101, Moon Township, PA 15108 | 412-329-7267
IannessaPediatricDentistry
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Online Patient Forms

Welcome to our new Online Forms! This allows you to complete all of the paperwork necessary for your appointment prior to visiting our office.

All forms must be completed and submitted 48 hours prior to your appointment to be seen due to the new COVID-19 protocols mandated by the PA Department of Health and the Centers for Disease Control.

If you are an existing patient of our practice:

- If coming in for an operatory appointment(filling, sealants, tooth extraction, and etc...), please complete a COVID-19 Screen Form for each Patient: Click Here COVID-19 Screen

- If coming in for a six month check-up appointment, Please complete the Six Month Checkup Packet for each Patient: Click Here for Six Month Dental Check-Up

If you are an new patient of our practice:

- Please complet a New Patient Packet found at for each patient: Click Here for New Patient Packet


 
 
 
 
 

 
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