Forms

We are happy to offer our forms and applications for download.  Please feel free to print these and fill them out at your convenience before your visit.

Patient Registration

Please complete this form before your first dental appointment.
Click here to download (41KB)

Dental and Medical History

Please complete this form before your first dental appointment.
Click here to download (63KB)

 
If you are unable to view the pdf files, please click on the icon below to download and install Adobe Reader:

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C. Timothy Lipp, DMD

Beaver Falls Office
Phone: (724) 843-7088
3315 4th Ave
Beaver Falls, PA 15010
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Robinson Township Office
Phone: (412) 788-1818
1 Robinson Plaza
Suite 160
Pittsburgh, PA 15205
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