Patient Forms

New to Altman Dental in Williamsville, NY? Please print out and complete these forms to save you time in the office.  We can’t wait to see you!

Click on printable forms below, or feel free to email us your forms.

Patient Info Form Not displaying correctly? Right click on the link and click “Save As” to save to your computer and then open the file from within Adobe Reader. Requires the free Adobe Reader.

HIPPA Form Needing Signature

Office Policies needing signature

 Snack Survey

Patient Portal:

Want to keep up to date on your appointments, treatments, & billing? You can keep track of your patient records through our patient portal: https://www.patientconnect365.com/Auth/PracticeLogin/3410 to set up your account access.
Does Altman Dental Provide On-Line payment options? Why, yes we do!
You can elect to pay your bill through our online secure site.
Click the button below to be taken to our secure site.

You will need to set up an initial account, after which you can login to your patient portal to check appointments, treatment, and your billing history. You will enter the amount of your bill, upon clicking on make a payment.Thank you for your interest in our practice! We’re happy to help you look better and feel your best!

Facebook