Patient Forms

Contact Us!

We encourage you to contact us with any questions or comments you may have. Please call our office or use the contact form below.

Office location:
480 Route 79
Morganville, NJ
Phone: 732-972-0918

We are conveniently located near all major highways and the Garden State Parkway.

Patient Forms

Dr. Richard Champagne has helped thousands of patients receive the smiles they desire through a pleasant experience. He prides himself on producing stunning results that patients cannot help but smile about.

Dr. Champagne believes strongly in patient education in order to produce the best possible results for patients. He encourages patients to review the following patient forms in order to be better prepared for their consultations.

Below you will find several informative packets that Dr. Champagne has prepared to give him an understanding of patients’ medical backgrounds, personal comfort levels and cosmetic dentistry goals, as well as facilitate the process with online patient registration forms. With this personal information, Dr. Champagne creates an individualized treatment plan to help meet patients’ unique needs.

Please click on the links below to open the forms in a PDF file.