Merion Village Dental values your time! That’s why we offer our patient forms online!

Why spend extra time in a reception area when you can fill out your patient forms online in the comfort of your own home? Our HIPAA compliant servers allow patients to safely and conveniently fill out their new patient paperwork so that they won’t have to arrive earlier than their appointment is scheduled.

Click one of the following links to update your information.

Providing us with up-to-date information allows us to coordinate insurance coverage as well as provide predictable treatment plans for your budget!

Fill out New Patient Welcome PacketFill out Existing Patient Health Update

Check out the ease and security of our online patient forms:

  • Can be filled out when it’s most convenient for you
  • Are secure, private, and exceed HIPAA requirements
  • Allow us to confirm your information before you arrive
  • Expedite the time you spend in our office

We know that filling paperwork out can be a drag. That’s why we let you complete it whenever it’s most convenient. Busy families and professionals often have a hard time squeezing in their dental appointments, so save yourself some time and complete all the paperwork from home!

What You’ll Need

Filling out forms for the first time? Updating your personal information? Have your insurance card handy, as well as a list of any medications that you’re currently taking. If you’ve had a recent surgery or hospitalization, please let us know as early as possible.

“I love this place. They are so warm and friendly. Carrie Did my cleaning and Dr. Haney was my dentist. Great people! They go above and beyond to make sure that you are comfortable and satisfied.”

Wendy M. – ⋆⋆⋆⋆⋆

February 16th, 2021

“I have been attending Merion Village Dental since I was 9 years old. My family and I love the family atmosphere and the care we get from the whole staff and we will be Merion Village lifers!”

Nick R. – ⋆⋆⋆⋆⋆

February 23rd, 2021

“Always love visiting Merion Village Dental! Natalie always does a great job cleaning my teeth and creates fun conversation! Gaile is always super helpful, too! The whole visit is top notch!”

Edwin C. – ⋆⋆⋆⋆⋆

February 23rd, 2021

“I moved to Merion Village over three years ago. I would drive past Merion Village Dental on my daily commute. I decided to check out this adorable office the next time I needed my teeth cleaned. It’s just as inviting on the inside as it is on the outside. The staff is wonderful. They have gone above and beyond with every interaction I have had with them. I would absolutely recommend this dental office to all my family and friends!”

Liz W. – ⋆⋆⋆⋆⋆

March 2nd, 2021

“Great experience today as always! Teeth are clean and the people were friendly per usual. Even got a mug on my way out for being in the Co Cavity Club!”

Krysten P. – ⋆⋆⋆⋆⋆

March 2nd, 2021

Alert: Your end of year benefits expire soon! schedule online now.