Dental Forms

All non-urgent visits have been cancelled.  If you are experiencing a dental emergency, and need to schedule an in-person or telehealth appointment with a dentist, please do not hesitate to contact our Dental Line at 617.927.6127. We are still open for business and we are here to serve you. Whenever possible, please do not walk in to the health center to request services.

Important Information for New and Returning Fenway Dental Patients

Fenway Health offers dental services of the highest quality in a professional, friendly environment. On this page, you’ll find useful forms for new and existing dentistry patients.

Are You a New Patient?

If so, please download and fill out the following forms before your first appointment.

Are You a Returning Patient?

Please fill out this form before your appointment if you haven’t already done so this calendar year. In order to keep our records up-to-date, we ask that you complete this form once per year.

Appointments

617.927.6127

Ansin Building

6th Floor
1340 Boylston Street
Boston, MA 02215

Hours

  • 8:00 am – 7:00 pm
    Monday – Thurday
  • 8:00 am – 5:00 pm
    Friday
  • 8:30 am – 1:00 pm
    Saturday

Fenway Health Dental Services

  • Comprehensive Exams
  • Oral Cancer Screening & Evaluation
  • Digitalized X-Rays
  • Cleanings & Check-ups
  • Amalgam & Composite (tooth-colored) Fillings
  • Esthetic Consultations
  • Tooth-Whitening Procedures
  • Veneers, Crowns & Bridges
  • Complete & Partial Removable Prosthetics (dentures)
  • Non-Complicated Root Canals &  Tooth Extractions