Patient Forms

Patient Forms

To better assist our patients and to prioritize your convenience, we have supplied new patient PDF forms which can be filled out at home to speed up the registration process during your initial visit. Please fill out all the necessary information and bring them with you to your first appointment. If you have insurance, remember to bring this information as well. If you don’t bring your smile, you will certainly leave with one!

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New Patient PDF Forms

If you experience any technical difficulties or have questions regarding our forms, don’t hesitate to contact our office for assistance at for assistance at (203) 424-2100.

Patient forms graphic

Patient Reviews

Let Us Make You Smile
  • “Dr. Marks has done excellent work on my teeth and always makes me feel comfortable. Scheduling an appointment is always convenient and waiting room time is never excessive”

    - Ken M.
  • “I have Had nothing but the best experience with Dr. Jay. He's made a huge difference in my dental experience He's is very thorough and makes sure he takes care of all my dental needs. Will never go anywhere else.”

    - Rebecca A.
  • “Dr. Marks took control of my care, always gave me good advice, and created a plan to fix everything that was wrong. Dr. Marks is a terrific guy and has gone the extra mile many times on my behalf using his skill and experience to achieve the best results.”

    - John R.

Dr. Jay M. Marks

Why Are We the Right Choice for You?
  • Serving Children, Teens, Adults & Seniors
  • Extensive Experience & Community Envolvement
  • After-Hour Services Available for Emergencies
  • Free Constltations for New Patients

We'd Love to See Your Smile

Contact Us to Schedule an Appointment by From or by Phone at 203-424-2100
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  • Best Dentistry Award 2020
    Best Dentistry Award 2020
  • AGD Primary Fellow
    AGD Primary Fellow
  • AWARD - American Dental Association
    AWARD - American Dental Association
  • AWARD - Connecticut State Dental Association
    AWARD - Connecticut State Dental Association
  • Dental Insider 2018
    Dental Insider 2018
  • Dental Insider 2020
    Dental Insider 2020
  • AWARD - National Consumer Advisory Board - 2019
    AWARD - National Consumer Advisory Board - 2019
  • AWARD - OpenCare Patient's Choke Winner
    AWARD - OpenCare Patient's Choke Winner
  • RECOGNITION - American Dental Association
    RECOGNITION - American Dental Association
  • RECOGNITION - CRA 20th Year
    RECOGNITION - CRA 20th Year
  • Connecticut State Dental Association
    Connecticut State Dental Association