Dental Forms

Due to COVID-19, all dental visits require virtual prescreening and consultations with our dentists.  Please do not walk into the health center without first speaking directly to our department. 

Teledental Services are being offered!  Fenway Health now offers Teledental Services for emergency visits or consults. Have a dental emergency or need dental advice? Connect with one of our dentists for a secure virtual visit via telephone or video (Zoom account needed). Please call the mainline of the clinic (617-927-6127) to schedule a virtual visit. 

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.



Ansin Building

6th Floor
1340 Boylston Street
Boston, MA 02215


  • 8:00 am – 5:30 pm
    Monday – Thursday
  • 8:00 am – 5:00 pm
  • 8:30 am – 1:00 pm

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