New Patient Information

At Dr. Sam Romano, your first appointment includes a thorough exam and gathering any information that our dentist must be aware of in order to provide care specifically to your oral health. We understand that all patients are different and require individualized care. 

To facilitate being seen as soon as possible at the time of your appointment, please download and complete the following forms. Please assist us by providing the following information at the time of your consultation:

  • A list of your current medical prescriptions
  • X-rays: If your previous dentist has taken x-rays, you may request that they forward them to our office. If there is not enough time, please pick them up and bring them to our office. If additional films are necessary, they can be taken at the practice.
  • If you have dental insurance, bring your insurance card.

Our office is also experienced with obtaining certain benefits from your traditional medical insurance plans. Many of our surgical procedures, TMD treatment, Sleep Apnea Appliances and sedation procedures are often covered.

Download New Patient Form


Download HIPAA Privacy Form


Download Financial & Appointment Policy Form


Post-Procedure Factsheets

For all our current patients who have to, or have recently had any procedures check out the various fact sheets we have put together for you. These are for your follow-up and home care.



Insurance Information

We make every effort to provide you with the finest care and the most convenient financial options. To accomplish this we work hand-in-hand with you to maximize your insurance reimbursement for covered procedures. We are a non-participating dental office. Because insurance companies have strict rules and dictate treatment without knowing the individual needs of each patient, we have chosen not to participate in order to provide the best care for our patients.

As a courtesy to our patients with dental benefit plans, we work diligently on helping secure claims. We will submit necessary claim forms, receipts and other information to your insurance company for predetermination of benefits.

If you have any questions, please ask our staff. They are well informed and up-to-date. They can be reached by phone at 973-377-7088.




We finance through Care Credit, ask us how






What Every Patient Can Expect

At our practice, every patient can expect to be treated with prompt service at their specified appointment time. Our patients can also look forward to a comfortable experience. We understand that visiting a new dentist can be stressful, which is why our practice works actively to accommodate all patients and alleviate any fears they may have about a new dentist or dentistry treatments. Familiarizing yourself with our practice, services, and our dentist is a great first step to creating a long term and comfortable experience with dentistry.