General Dentistry, Poughkeepsie, Dutchess County, Hudson Valley, New York 12603

Patient forms


Reception area, where you submit patient forms and update information

For your convenience, our patient forms are available for viewing and printing in Adobe Acrobat Reader. If you do not have Adobe Acrobat Reader, click the following link to download the free version.


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We recommend printing and completing the medical history, HIPAA privacy, and financial policy forms at home and bringing them with you to your first appointment.

If you have any problem getting these forms to print properly, call Dr. Maron’s office (845-454-0380); and we will gladly mail or fax them to you.

Click one of the following patient forms to view and print the (PDF) form:


Office location

Dr. Fred S. Maron

541 Haight Avenue
Poughkeepsie, New York

Phone: (845) 454-0380
FAX: (845) 454-2320


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Affordable dentistry

We have financial plans to make your treatment affordable.


Did you know?

We can submit x-rays and photos of your teeth electronically with your insurance claims.