255 MAIN STREET ACTON, MA 01720

Current Patients 978.635.9995

New Patients 978.212.3783

Acton MA Dentist Office Patient Forms

Dr. Ratti Handa respects your time and provides patient forms that can be downloaded and completed before your visit. If available to you, please take a moment to print and complete to the best of your ability prior to your appointment. Our front desk staff will gladly provide forms or assist as needed.

Online New Patient Inquiry

Patient Information Form

Insurance Information Form

Dental Information 

Medical History Form

Patient Consents

Consent For Dental Treatment

HIPAA Privacy Form

HIPAA Acknowledgement Form

Breathe Babies Intake Form