Patient Forms
If you are a new patient to our office, below you will find our new patient forms. Thank you and please call our office if you have any questions at all.
Adult Forms
Patient Information
Patient Dental History
Medical History Adult
Covid19
Patient Insurance
HIPAA
Child Forms
Patient InformationChild Dental History
Medical History Child
Our Office
Locust Valley
A special thanks to Dr. Schmitz & his team at Locust Valley Dentistry. Everyone is always so friendly, nice and very professional. Laura did an excellent and thorough job with my cleaning as always. Also, she put me at complete ease by following all of the necessary safety precautions & guidelines during this ongoing pandemic. Thanks for a great visit today.
Corinna P.
I just completed a Crown procedure performed by Dr. Robert W. Schmitz, DMD at Locust Valley Dentistry. I have been a patient of Dr. Schmitz for 20+ years. As his patient I have always had a successful outcome to my dental procedures. Without question Dr. Schmitz has provided me with the uppermost in dental care. He is extremely competent and employs the latest technology in dental procedures. Dr. Schmitz has always placed my dental health and well being paramount to all other concerns. Importantly, he will take the time to explain all available options to the dental work required, providing the pros and cons. If you are considering a dental procedure I would highly recommend Dr. Robert W. Schmitz at Locust Valley Dentistry.
Paul Z.
Lovely office. Always friendly & smiling staff.
Lauren B.
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