Patient Forms

PATIENT FORMS

Below you will find a link that connects you directly to our office. You can fill out your Patient Forms from home there is no need to print them out as they get sent digitally directly to the office . Filling out the Health Forms at home will save you time and allow for a more comprehensive visit.

  • Choose Health forms if you are a new Patient
  • If Interested in our In Office Plan please fill out that form also
  • Notice of Privacy Practices

Fill out the forms online and save time waiting in our office.

151 Waterman St
Providence, 02906

Lena D. Karkalas, DDS

151 Waterman St

Tel: (401) 861-2140

MON - THU : 7:00 am - 2:00 pm

FRI - SUN : Closed

Patient Portal