New Patient Paperwork

Please print and fill out forms in order to have them ready at your consultation appointment.


There are two forms to print below, please make sure to print and fill out both.


We offer interest-free* financing through CareCredit.  Click above to apply, or visit to learn more.


*no interest if balance paid in full in 12 months 


The American Academy of Pediatric Dentistry (AAPD) is the recognized authority on children’s oral health. As advocates for children’s oral health, the AAPD promotes evidence-based policies and clinical guidelines; educates and informs policymakers, parents and guardians, and other health care professionals; fosters research; and provides continuing professional education for pediatric dentists and general dentists who treat children.

The American Society of Dentist Anesthesiologists website provides information about anesthesia, including frequently asked questions and what to expect when your child is sedated.

The CTDHP website provides information on the dental health care services provided by the HUSKY Health program.

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Our sister office in Huntington, NY

We have moved!  

Our new address is:

37 North Ave, Suite 103, Norwalk, CT  06851

Serving Fairfield, Hartford, Litchfield, New Haven, New London, Tolland, Middlesex, and Windham Counties in Connecticut.

Make an Appointment

37 North Ave, suite 103

Norwalk, CT 06851

Tel: (203) 817 2534

Fax: (203) 286 1203

© 2020 by Pediatric Dental Sedation Specialist of Connecticut LLC.

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