Patient Forms

Complete Your New Patient Packet

Patient Forms

Complete Your New Patient Packet

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New Patient Packet

IF YOU HAVE ALREADY CONTACTED OUR OFFICE AND ARE IN THE PROCESS OF SCHEDULING AN APPOINTMENT, you can conveniently fill out our digital forms that can be submitted back securely and electronically by following this link:

Complete Digital Forms

*please do not submit this as a request for an appointment.

Printable Forms

We have conveniently provided our patient forms for those wishing to print from home. These PDF files can be downloaded, printed, then filled out prior to the appointment. Simply click on the tabs below to access these documents.

If you do not have access to a printer or choose not to complete the forms prior to your appointment, we kindly ask you to arrive 15 minutes prior to your scheduled appointment time to complete the paperwork. Also, if you have been treated by a previous dentist please call our office to arrange for a record release form so we can obtain dates and copies of previous radiographs (x-rays) and important dental history.

Scheduling your dental visit has never been easier

Take the First Step Toward a Healthier Smile

Whether you’re due for a routine checkup or need restorative care, our team is here to help.

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See why patients choose Nazareth Dental

Trusted by Our Community

“I have been going to Dr. Krupa since the early 90's. My dental work includes bridge work, caps, filling cavities, cleaning... I have always had positive results. And all of his staff including him are nice people. I highly recommend him!”

– Chris W.

"Excellent experience at Nazareth Dental Associates. Dr Krupa is very personable and welcoming. Connie did a great job and was very nice. My daughter Allie was nervous at first but left with a big smile on her face. She really enjoyed her hygienist as well. Highly recommended. The entire staff was super nice."

– Ian M.

"I had my first visit with Dr. Krupa today was looking for a dentist that I felt comfortable with and I think Dr Krupa has been exactly what I was looking for, He was very thorough. Found a few issues I need addressed and moving forward. I feel very confident he will Star exceed my previous dentist"

– Susan A.
Therapist

Your New Smile Starts Here

Trusted dental care for the whole family in Nazareth

Join the many patients who trust Nazareth Dental for honest care and beautiful results.

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We’re here to help

schedule your visit today!

Whether you’re a new patient or returning for routine care, our team at Nazareth Dental is ready to assist you. Fill out the form below and a member of our office will contact you shortly to confirm your appointment.

Get In Touch

We aim to make every visit simple, comfortable, and effective — no matter what treatment you need.

Our Location

138 N. Main st., Nazareth, PA 18064

Office Hours

Monday - Thursday: 7:30 AM - 5:30 PM

Phone Number

(610) 759-7224

Email

Frontdesk@Nazarethdentalassociates.com