A Secure and Simple Way to Exchange Information

Online Forms

All of our patient forms and registration can be filled out securely online, using either the link of this website or by downloading the Yosi Form app on your mobile phone or tablet.  Filling out forms Alternatively you may click on the links below to download, print a copy, scan the completed forms, and  o fax (212)-246-8707 or email (frontdesk@gallery57dental.com) them to us.

Providing this information ahead of your appointment will expedite your visit and insure that we have all the correct information for administrative and billing purposes.

For your desktop browser

Secure Patient Registration and Medical History

Yosi Forms for Gallery57Dental

A more convenient, on-the-go Experience

Download the Yosi mobile App for Apple and Android Devices