General Dentistry, Poughkeepsie, Dutchess County, Hudson Valley, New York 12603

Patient forms

Reception area at Dr. Maron's dental office

Reception area, where you submit patient forms and update information

For your convenience, our patient forms are available for completing and submitting online or for viewing and printing in Adobe Acrobat Reader. If you do not have Adobe Acrobat Reader, click the following link to download the free version.


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If you do not complete and submit the forms online, we recommend printing and completing the medical history, HIPAA privacy, and financial policy forms at home and bringing them with you to your first appointment.

If you have any problem getting these forms to print properly, call Dr. Maron’s office (845-454-0380); and we will gladly mail or fax them to you.

The information you submit on our website is secure.

Click one of the following patient forms to view and print the (PDF) form:


"Dr. Maron takes the time to explain his findings and treatment needed. He is always gentle and makes sure the treatment is painless."


Office location

Dr. Fred S. Maron

541 Haight Avenue
Poughkeepsie, New York

Phone: (845) 454-0380
FAX: (845) 454-2320


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Affordable dentistry

We have financial plans, including Care Credit and DenVantage, to make your treatment affordable.