New Patient Forms

Please submit online forms here

HIPPA compliant online New Patient Forms

Welcome to Avon Family and Cosmetic Dentistry. Please use the below forms to send your new patient paperwork for a quick check-in at our office. We highly recommend filling out your new patient paperwork prior to your appointment. You can submit this form online and there is no need to print and bring these forms to our office. Please call us at 860.674.0707 if you have any problems filling out the forms below. We are looking forward to meeting with you. 

Patient Testimonials

Our Locations

Avon Family and Cosmetic Dentistry LLC

39 East Main Street, Avon, CT 06001
Phone: (860) 674 - 0707
Fax: (860) 678 - 8440

Essel Dental LLC

44 South Main Street, East Windsor, CT 06088
Phone: (860) 254 - 6955
Fax: (860) 254 - 6956

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Cosmetic Services


No-prep Veneers


Cosmetic Bonding

Teeth Whitening

General Dentistry

Natural Looking Crowns

Inlays and Onlays

Dental Bridges

Root Canals


Other Services

Sedation Dentistry

Sleep Apnea Treatment

Wisdom Teeth

Bone Grafting

Dental Emergencies


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