Need a New Fairfield Dentist?
Then this is where you want to be. Freedom Dental is one of the Fairfield community’s most trusted (and top-rated) practices, and lucky for you, we’re currently accepting new patients!
Forms for New Patients
With the help of these online forms, you can make the process of becoming a patient at Freedom Dental fast and easy. Just print out, read, and sign the following forms, then bring them with you on your first visit.
This form will let us serve you better by helping us understand more about your dental history, medical needs, and insurance coverage.
Your personal information is safe with us. Freedom Dental is fully compliant with all HIPAA (Health Insurance Portability and Accountability Act) regulations.
Appointment Cancellation Form
Can’t make it to your appointment? That’s okay – life happens. But please make sure you’re familiar with our rules for providing advance notice.
Patient Financing Options
The cost of dental care shouldn’t prevent you from receiving the treatment you need. That’s why Freedom Dental offers patient financing options from LendingClub and CareCredit. They make dental care affordable so you can feel comfortable and have a beautiful, healthy smile.