Brecksville Office:
Current Patients (440) 546-9968
New Patients(440) 630-2330
Cleveland Office:
Current Patients (216) 251-8812
New Patients(216) 223-6625
Fairview Park Office:
Current Patients (440) 644-8100
New Patients(440) 497-0102

New Patient Forms

Request Appointment


Thank You!

We appreciate you taking the time to visit our site. We'll review your message and be in touch with you soon.


Since you have just scheduled your first appointment with Hylan Dental, we have provided downloadable New Patient and Medical History forms for your convenience.

Follow these 3 easy steps:

  1. Download and print out the forms below for Medical History and the New Patient Form for your Hylan Dental office location.
  2. Fill in your information.
  3. Bring them with you to your first dental appointment.

*By doing this now, you will save about 15 minutes of filling out paperwork during your first visit with us. 

Downloadable PDF Forms:

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Existing Patients: (216) 251-1000
New Patients: (216) 539-9160