Patient Forms

We know that life can be busy. That is why here at Fairfield County Implants and Periodontics, LLC, we offer our patient forms online. We encourage you to fill out your forms before your appointment with our dentists, which will help transition you quickly into your appointment with Dr. Michael Sonick, Dr. Rui Ma or Dr. Stephanie Koo once you arrive at our office. Learn more about dental implants and periodontics in Fairfield, Connecticut, by calling 203-254-2006 today.
For your convenience and security, our online forms follow all the HIPPA compliance regulations to safely transmit sensitive information.

Online Forms
Patient Information Form

Dental screening questions for medical patients

Medical History Form

Oral Sedative Acknowledgement

Medical History Update

Downloadable Forms
Medical History Form PDF

Oral Sedative Acknowledgement PDF

Post Periodontal Therapy Instructions

Post Op Instructions

Non IV Pre-Op Instructions

IV Sedation Pre-Op

Securely Send Us Your Downloadable Forms