New Patient Forms


If you are a new patient, you must submit these forms BEFORE your appointment. If you do not submit these forms before your appointment you may NOT be seen for an office visit.   Please click the link below  to be connected to our HIPPA compliant and secure portal.

You will be asked to provide either an email and /or cell phone to which the forms will be sent. Please note that all forms must be filled out in order to safely and securely forward them to our practice. Thank you and we look forward to meeting and treating your dental needs.

Thank you.

Dr. Wallerstein and staff

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Seth M. Wallerstein, D.M.D.
Creating Beautiful Smiles

Dr. Seth Wallerstein is dedicated to excellence in cosmetic, implant and family dentistry, specifically Brite Smile, The Wand, porcelain veneers and teeth whitening. Located in Edison, New Jersey the office serves patients throughout Middlesex County including neighboring cities such as Metuchen, Woodbridge Township, Highland Park, Ferth Amboy and Fords.

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