New Patient Forms
Please download and fill out the forms below and bring them with you to your first visit.
New Patient Medical History Form
Free Acrobat Reader is needed to view the forms. You can download it here.
Insurance Information
Gregory Puccio DMD accepts most insurances. Please contact us so we can look up your specific plan and better inform you of your coverage and benefits.
No Insurance? No Problem
Get treated now and pay over time with Cherry. Cherry is a payment plan designed for your health, beauty, and wellness needs and procedures and allows you to make convenient monthly payments.
Types of Payment Accepted
We accept cash, checks, and all major credit cards.
Patient Discounts
We offer 10% OFF cash discounts for seniors.