Dr. Susan Bracker
We've Got Smiles For You!
 
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Patient Info

New Patients:

If you are a new patient or are considering treatment at our office, Welcome!  If you would like, you can save yourself some time at your initial appointment by downloading and completing the new patient forms included below.  If you choose not to do this, please be advised that you will need an extra 15 or 20 minutes prior to your visit to complete this mandatory paperwork. 

Printable Forms and Paperwork
Click on the form below, then print out.
New Patient (adult) Paperwork

Dental Insurance Form

New Patient (child) Paperwork HIPPA Privacy Form
Consent for Conscious Sedation Consent for Endodontic (root canal) Treatment
Consent for Crowns with Buildup Post Operative Instructions for Fillings
Consent for Extraction Partial Denture Consent
Consent for Front Crowns Post Operative Instructions for Dental Treatment
Info About TMJ Biophosphate Medications

Scheduling:

Appointments are available Monday, Tuesday, and Thursday from 8 a.m. to 7 p.m., Wednesday from 8 a.m. to 5 p.m. and Friday from 8 a.m. to 1 p.m. With four highly skilled hygienists and a large enough office there is never a problem scheduling multiple appointments for you and your family.  So go ahead, bring the whole gang at the same time!

As for making your appointment(s), you will be happy to know that at Dr. Bracker’s office you will always get a live person to answer your call during business hours (Seriously, no automated systems whatsoever). 

1 Saredon Place, Suite 100, Rochester, NY 14606

Office Hours: Mon, Tues, & Thurs: 8:00a - 7:00p
Wednesday: 8:00a - 5:00p; Friday: 8:00a - 1:00p