Amy G. St. Germain DMD, PC

& Associate Dr. Candace Katz D.M.D.

10 Pleasant Street
East Longmeadow, MA 01028

413-525-0955

Your First Visit

To help speed up your first visit please print out the forms below and fill them in prior to your arrival.  Thank You.

FINANCIAL FORM - Download: FinancialForm.pdf
HIPPA RELEASE FORM - Download: Hipaa_Release.pdf
NOTICE OF PRIVACY - Download: Notice_of_Privacy_Practices.pdf
HEALTH HISTORY FORMDownload: Patient_Health_History.pdf
PATIENT INFO FORM - Download: Patient_Info_FORM.pdf