Patient Forms
If you are a new patient to our office, the attached file contains our new patient bundle with forms that will need to be filled out when you arrive at our office. Printing them, filling them out and bringing them with you will allow us to attend to your medical needs more quickly than completing them on your arrival. Thank you and please call our office if you have any questions at all.
Registration Form
Medical History
Privacy Form
Financial Agreement
This web site uses files in Adobe Acrobat Portable Document Format (pdf) which require Adobe® Acrobat® Reader for viewing and printing. It is available to download free.
I was one of those people who'd need to be dragged to the dentist kicking and screaming before I came here. I've had a lot of people drill into my teeth and Dr. Moon is the only one who hasn't caused me any pain during or after. I highly recommend this magical place; you won't regret it. For the first time in my life I can feel confident that when I walk out of my dentist's office, I'm going to feel even better than I did walking in.
Courtney Carnevale
I have finally found my dental home! The ladies here are so wonderful and the dental work I have had done is great! Thank you!!!
Kristy Perretta
THE BEST! Words cannot describe my experience with Dr. Figueroa. When I first walked through those doors it literally changed my life. I can smile now and not be ashamed. I am so grateful for everything Dr. Figueroa and her team has done for me. I would highly recommend Dr. Figueroa to everyone!
Fran King
Ayer, MA
Taking Dentistry to a New Level! Our family has been going to Dr. Figueroa for many years now and we all look forward to every visit. Dr. Figueroa and her team are a very loving group and put a lot of care into their work. The small team provides a very personal experience. They always do a through job and take care to address any questions and concerns we may have. Apart from running a superb dentistry with an office filled with state of the art equipment. Dr Figueroa is a very helpful and inspiring person. We are happy to have to them as our family dentist and would without hesitation recommend them to anyone. We are very lucky to have them!
Syed-Khankhel Family
Lowell, MA
Most amazing dentist! She is kind, patient, takes her time to explain and brilliant in what she does. Our family have been with her for a few years and can not be more pleased with the experience. Wish we discovered her years ago!
E. Blomerus
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