Call: (617) 505-3567

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Patient Forms

We want to welcome you to the C and C Dental | Brookline, MA Dentist family!

We are glad that you are interested in becoming a patient of Dr. Eric Chen’s Brookline, MA dental practice. New patients are always welcome here. Everyone at C and C Dental | Brookline, MA Dentist 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. Eric Chen and the C and C Dental team

 

Click below to download New Patient Registration Materials

 

New Patient Registration

Medical History

Notice of Privacy Practices

Adult Consent

Child Consent

Exion Fractional-RF Form

Exion Face-app Form

EMFACE Consent Form