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.

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Yvonne Gaines
2 September 2026
Google star 1Google star 2Google star 3Google star 4Google star 5
Hygienist was very pleasant and efficient Great job
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TIM HENNINGER
27 August 2026
Google star 1Google star 2Google star 3Google star 4Google star 5
Great from start to finish Friendly, smiling Clear plan of care and billing
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Matt Sim
27 August 2026
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The best. I drive 4.5hrs to go to Dr. Purvis. Clean, organized, and highest level of care, technology, and personal touch.
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WT 3
25 August 2026
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Friendly and professional staff.
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ALICIA JACOBACCI
20 August 2026
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I had nothing but la 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. Ps. I low-key want to be a dental hygienist after having the conversations I had with some of the people there. I love the atmosphere

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