Patient Forms

We are excited to welcome new patients to the Family Dentistry of Ephrata! Our goal is to make your first visit as quick and relaxing as possible, which is why we invite you to browse through our patient forms below.

Choose which form(s) to download

Please find the office that will host your first visit and click on the corresponding links to request an appointment physically or remotely. Then, fill your check-in form and complete our wellness questionnaire.

Completing your forms ahead of time will help expedite your initial visit and give us valuable information we need to provide you with the most effective treatment. Minimize the time you spend waiting and maximize the time you spend getting our industry-leading dental care!

any questions?

Let's share a smile!

See some recent customer reviews below
Already a patient? Head over to our Google page to share your experience.

Mike Wynn
Mike Wynn
2023-07-13
Everyone was courteous and professional. I would absolutely recommend them!
Mary Lou Eckerd
Mary Lou Eckerd
2023-06-20
I’m a high anxiety panic kind of person so getting a crown is not something I look forward to. Nonetheless I am so happy and relieved that it is done. Doctor Pinto and Michelle patiently helped me through the process. They were very patient and positive with me. My visits are always way better than I expect them to be. I’m so happy that I found a quality place to get my teeth cared for. I highly recommend them. I’ve never had a bad experience here.
Chrystal Gates-Foster
Chrystal Gates-Foster
2023-04-21
1st visit and it was super .
Brett Kemper
Brett Kemper
2023-04-06
Had a great first visit. All the staff were really friendly and patient with our kids on their first dentist trip.
Skye Horton
Skye Horton
2023-03-09
Best dentist ever they are all pros! They all actually care about long term teeth health and what’s best for the patient and not just their pockets. The assistants also make you feel comfortable and actually have conversations with you. I recommend you go here!!
Edward Haldeman
Edward Haldeman
2023-02-16
It was fine for a first time client. Hygienist was very good.
Luz Cabrera
Luz Cabrera
2023-02-16
I would recommend this place to anyone they made sure I clearly understood all my options and definitely very helpful kind knowledgeable awesome Staff and Awesome Dentist
Rahmani
Rahmani
2023-02-04
Dr. Pinto is very nice and professional, all the staff there are very kind and welcoming. Sandy in particular helped us with appointments and contact with our insurance and helped us with all our concerns.
John Leininger
John Leininger
2023-02-01
I was seen right away, and the staff were friendly. I was satisfied with the quality of the care provided.
Erin Price
Erin Price
2022-12-14
Everyone was nice!! Even the sweet lady that checked us in!!

Location

1065 Sharp Ave
Ephrata, PA 17522

Hours

Mon 8AM - 6PM
Tues 8AM - 6PM
Weds 8AM - 6PM
Thurs 8AM - 6PM
Fri-Sun CLOSED

Call Our Office

(717) 738-0124

Connect

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