Dr. Kyle Purvis, DMD, Bridge Street Dental Center, New Cumberland, PA

New Patient Intake Forms

Family Dentistry Serving Camp Hill, New Cumberland, Lemoyne, Lower Allen, Wormleysburg, and New Market Areas

Patient intake and new patient forms are essential documents that help us gather important information about you and your dental health history.  These forms provide us with details such as your contact information, medical history, allergies, medications, and dental insurance coverage.

By completing these forms, you help us understand your unique needs and provide personalized care.  At Bridge Street Dental Center, we offer convenient online or paper-based forms to streamline the intake process, ensuring that we have all the necessary information before your first visit.  Your thorough completion of these forms enables us to deliver the highest quality of care and create a customized treatment plan tailored to your specific requirements.

Access New Patient Intake forms.


Kyle J. Purvis, DMD
Bridge Street Dental Center
1902 Bridge Street
New Cumberland, PA  17070

Phone: 717-774-7700

Email: Office@BridgeStreetDC.com


Monday: 8:30 am to 5:00 pm
Tuesday: 7:00 am to 4:00 pm
Wednesday: 8:00 am to 5:00 pm
Thursday: 7:00 am to 4:00 pm
Friday: 8:00 am to 12:00 pm