Patient Forms

The first visit to our office is designed to get you better acquainted with all we offer as well as introduce you to Dr. Lunan and our caring staff. We encourage questions and do our best to always deliver quality care.

Please take a moment prior to your scheduled appointment to download our patient forms. We ask that you complete the forms and bring them with you to your appointment so we may better assist you in a timely manner. You may also print them out and complete them at your leisure and then fax them to the office at 203-527-3264. You may also scan & E-mail them to us at and we will have them waiting for you upon your arrival.

Thank you for your confidence in our office, we look forward to assisting you with all your dental needs.

Patient Dental History Form

Patient Medical History Form

Pediatric Medical-Dental History Form

Office Registration Form

 Patient Portal 


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.


Contact Us. We encourage you to contact us with any questions or comments you may have. Please call our office or use the contact form below.