Andover:+1 978.475.8008 | Boston:+1 617.366.1600
Registration Forms
Everything You Will Need for Your First Appointment
Forms & Useful Info
You will find two forms below that need to be completed in order for Micro Endodontics to treat your dental needs—the New Patient Registration Form and the Medical History Form.
Required for Your First Visit
New Patient Registration Form
Micro Endodontics requires a certain amount of information about our patients prior to beginning treatment. This Registration Form includes requests for basic name and contact information, as well insurance details and payment options. This form may be printed, completed and brought o an appointment. It may be completed in our office prior to your appointment, however, we ask the patient to arrive 10 minutes early.
Please click the image to download PDF document.
Patient Medical History Form
The Medical History Form requires the patient to provide specific details to any existing or previous medical conditions, prior surgeries or invasive procedures as well as allergies or disorders that could pose a risk or require our Endodontists to make special arrangements prior to beginning treatment.
Please click the image to download PDF document.
For Your Review/Records
HIPAA Compliance Statement
The Health Insurance Portability and Accountability Act of 1996, commonly referred to as HIPAA, required the US Department of Health & Human Services (Read More) to develop regulations protecting the privacy and security of certain health information. Micro Endodontics considers our patient’s health, personal and financial information to be of the utmost importance. We are a HIPAA Compliant practice and maintain all recommended provisions in protecting our patients privacy and data.
Please click the image to download PDF document.
Questions or Concerns?
In the event you have any questions or if you would like to speak to one of our Endodontists, please feel free to call one of our Practice locations:
USEFUL LINKS
Treatment Options
Meet The Doctors
Make an Appointment
What Sets Us Apart
Our Two Locations
Contact Our Practices
PATIENT TESTIMONIALS
"Dr. Abrass did my Root canal: what an excellent job he did, no pain and complete comfort. He explained everything in details and demonstrated complete knowledge of his specialty. To top it all, he is classy and compassionate. This is a doctor that makes your root canal experience pleasant."
ME Patient
The entire Micro Endodontics staff is committed to providing the absolute best care possible to each and every patient we treat and/or consult. The decades of experience we share, along with our impassioned approach to perfecting our craft, has provided an ideal environment to foster and grow our "patient-first" approach and truly develop meaningful relationships with our clientele.
ANDOVER LOCATION
Micro Endodontics Andover
11 Chestnut Street, Suite 9
Andover, MA 01810
+1 (978) 475-9990
STAY SOCIAL
BOSTON LOCATION
Downtown/Financial District
10 Post Office Square, Suite 1101
Boston, MA 02109
+1 (617) 390-7490
Copyright © 2025. Micro Endodontics LLC.