5 N Morgantown St.
Fairchance, PA 15436
Call Us Today
724-564-9010
Call Map Email Book
  • About Us
    • Meet the Doctors
    • Meet the Team
    • Office Tour
    • Our Culture
    • Smiles for Life
    • Dental Technology
    • Blog
  • Services
    • Cosmetic Dentistry
      • Cosmetic Dentistry
      • Dental Veneers
      • Invisalign®
      • Teeth Whitening
      • Trial Smile
    • Emergency Dentistry
      • Emergency Dentistry
      • Oral Surgery
      • Root Canals
    • General Dentistry
      • General Dentistry
      • Family Dentistry
      • Sedation Dentistry
    • Periodontics
    • Restorative Dentistry
      • Full Mouth Restoration
      • Dental Crowns
      • Dental Implants
      • Dentures
    • Airway Dentistry
      • Snoring & Sleep Apnea Treatment
      • Pediatric Airway Development
      • Airway Orthodontics
      • Tongue Ties
      • TMJ/TMD Treatment
  • Testimonials
  • Patient Info
    • Patient forms
    • Membership Plan
    • Financial Guidelines
  • Contact Us
  • Pay Online
  • Home
  • Patient forms

Patient forms


New Patient Registration – Adult (PDF)

New Patient Registration – Child (PDF)

Financial Guidelines (PDF)

Cancellation Policy (PDF)

Fairchance Dental Arts

Contact Us

Name(Required)
5 N Morgantown St.
Fairchance, PA 15436
Call: 724-564-9010
Instagram-black
  • Fairchance Dental Arts
    • Home
    • Our Culture
    • Smiles for Life
    • Testimonials
    • Contact Us
  • Services
    • Cosmetic Dentistry
    • General Dentistry
    • Sedation Dentistry
    • Stunning Dental Implants in Fairchance
    • Dental Crowns
    • Dentures
    • Dental Veneers
    • Invisalign®
    • Root Canals
    • Teeth Whitening
    • Periodontics
    • Snoring & Sleep Apnea Treatment
    • TMJ/TMD Treatment
    • Emergency Dentistry
  • Patient Info
    • Financial Guidelines
    • HIPAA Patient Privacy Practices
    • Privacy Policy
    • Accessibility
Fairchance Dental Arts © 2026 | Designed by DentalCMO
Get Directions
Call Today to Book
NagiosCheckValue - Do not remove please