Patient Forms for Your Periodontal Appointment

Many patients prefer to complete paperwork before arriving for their appointment. Cornick Family Periodontics provides convenient access to patient forms so they can be completed ahead of your visit. Preparing forms in advance helps ensure your appointment begins smoothly and allows more time to focus on your periodontal consultation and treatment discussion.


If you have questions about completing forms before your appointment, call (908) 526-0545 and our Somerville office will be happy to assist you.

New Patient Forms

Before your first visit, patients may be asked to complete several forms to help the team understand your medical and dental history. These forms typically include health history information, patient contact details, and consent documentation.


Completing these forms before your appointment can help streamline the check-in process.

Medical History and Health Information Forms

Medical information helps ensure periodontal treatment is planned safely and appropriately. These forms allow patients to provide details about medical conditions, medications, and previous dental treatment.


Providing accurate medical information helps the care team prepare for your appointment and provide safe periodontal care.

Doctor writing notes at a desk with dental X-rays, keyboard, and model teeth in a bright office
Dentist in white coat reviewing a red folder in a bright dental clinic with red chairs

Insurance and Patient Information Forms

Insurance and patient information forms allow the office to process dental insurance claims and maintain accurate contact information. Completing these forms in advance may help reduce waiting time during your appointment.

If you need assistance completing insurance forms, our office team can help guide you through the process.

Nearly 60 Years of Periodontal Care in Somerville

Cornick Family Periodontics is establishing a tradition of periodontal care that has served the community for nearly six decades. Today, Dr. Peter Cornick continues that legacy with a focus on careful diagnosis, thoughtful treatment planning, and attentive patient care. Patients and referring dentists across New Jersey rely on the practice for consistent periodontal care and clear communication.

Questions About Patient Forms?

If you have questions about which forms are needed before your appointment, the office team is available to help. Completing paperwork ahead of time can help ensure your periodontal consultation begins smoothly.


Call (908) 526-0545 or visit:

Cornick Family Periodontics

210 East Main Street, Somerville, New Jersey 08876, United States