Call: 212.678.1144

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Patient Forms

We want to welcome you to the Genevieve M. Fernandes DDS family!

We are glad that you are interested in becoming a patient of Dr. Genevieve Fernandes’s New York, NY dental practice. New patients are always welcome here. Everyone at Central Park west Dental Studio is committed to making your visits pleasant and stress-free. You can count on our friendly, highly experienced staff to always provide the highest standard of dental care in a clean, state-of-the art environment. Your comfort is our top priority.

We look forward to seeing you soon!

Dr's. Fernandes, Gulati, Lee and the Central Park West Dental Studio team


Click below to download New Patient Registration Materials


Acknowledgement Receipt Notice of Privacy Practices Form

Patient Option Letter

Dental Registration and History Form

Central Park West Dental Studio Confidentiality Form

Oral Cancer Screening

Payment Plan Dor (Care Credt)