Patient Forms

At Drexel Hill Smiles, we want your first visit to our office to be convenient and stress free. To make your appointment easier, please complete the patient form below. You can then securely submit it to our office online. Completing your paperwork before your visit with our dentists has two advantages. First, it will save you time. Second, it will give Dr. Dhaval Shah, Dr. Riya Sabu, and Dr. Saloni Mansuri the chance to study your medical history and begin thinking about your treatment options. If you need help with your form or want to schedule your dental appointment in Drexel Hill, Pennsylvania, contact a member of our team at 610-200-9200.

Patient Form
Patient Screening Questionnaire
COVID-19 Consent Form