Failla and DeFrancesco Family Dentistry
976 Main StreetWaltham, MA 02451
Fantasia, Failla and &DeFrancesco Family Dentistry

Patient Forms

To speed your initial visit, we have made our patient intake form and financial policy available for you to download and fill out before you arrive.

You can fill the first portion of our forms out using your computer, but you must print the forms and bring them in.


These forms require Adobe Acrobat Reader (most computers have it pre-installed).
To download it for free, click here