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.

     
 
   Bridge Street Dental Center
   362 Google reviews 
  Write a review 
 
 
 
   
 
 
      Posted on Google  
  
 
   Tammy McGee 
 27 October 2026
 
 
  Extremely friendly staff and Dr.Purvis is amazing!!!
  
 
     Posted on Google  
  
 
   Dan Stuck 
 20 October 2026
 
 
  Overall, staff and providers are top-notch!
  
 
     Posted on Google  
  
 
   Linda Rowe 
 20 October 2026
 
 
  Very friendly staff, personal attention and thorough dental exam and cleaning! I just returned home with a crown, and wanted to add how concerned he was that it fit properly. He is just as personable as he is professional, and his helper and I can chat, just like old friends! I highly recommend Dr Purvis and bridge Street dental.
  
 
     Posted on Google  
  
 
   Naomi Rigel 
 15 October 2026
 
 
  The appointment went well. Staff are all professional and friendly. It was my 6 month exam. Had X-rays, cleaning and fluoride applied. Dr. Purvis said all is well. Hallelujah!!
  
 
     Posted on Google  
  
 
   ALICIA JACOBACCI 
 13 October 2026
 
 
  I had nothing but a great experience from the moment  I called the dental office at Bridge Street Dental Center.  I am a current employee at UPMC and was searching for dentists and so happy I found this place.  Everyone is so kind and welcoming .  The woman who cleaned my teeth did went above and beyond.  I'm so happy I found this place.  I love the atmosphere and everyone is so kind.

CONTACT US:

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

Phone: 717-774-7700

Email: Office@BridgeStreetDC.com

OUR OFFICE HOURS:

Monday: 8:00 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

OUR SPECIALTIES:

Cosmetic Dentistry
Endodontics Dentistry
Orthodontics Dentistry
Periodontal Dentistry
Preventative Dentistry
Restorative Dentistry