New Patient Forms

In order to make your first appointment with us as efficient as possible, please print, complete, and bring the following forms along with you to our office.

The following form is our Notice of Privacy Practices.  Print it for your records if you wish; it is not necessary to bring a copy with you.

Contact Us

  • Jennifer Koch, DMD, FAGD
  • 201 W. Broad Street
  • Bethlehem, PA 18018
  • (610) 865-3333