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Patient Forms

We want to welcome you to the Seth M. Roth family!

We are glad that you are interested in becoming a patient of Dr. Seth Roth’s Stoughton, MA dental practice. New patients are always welcome here. Everyone at Seth M. Roth 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. Seth Roth and the Roth team

 

Click below to download New Patient Registration Materials

Financial and Insurance Office Policy

HIPAA Authorization of Release Form

Office Policy Regarding Insurance

Parental Financial Responsibility Form

Patient Registration Form

Permission for Confirmation via Electronic Media