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
   356 Google reviews 
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      Posted on Google  
  
 
   Carrie Groff 
 7 October 2026
 
 
  Wonderful dental office!  Everyone was warm and welcoming.  They were very transparent with costs and insurance coverage.  The front office staff was upbeat and professional.  The Hygienist, McKenzie, was very knowledgeable and had outstanding service!
  
 
     Posted on Google  
  
 
   Gail Dietz 
 7 October 2026
 
 
  Dr Purvis is so kind and has great skills. The staff is so helpful and friendly. I would recommend this office to my family and friends.
  
 
     Posted on Google  
  
 
   Nanette Huston 
 7 October 2026
 
 
  I love Bridge Street Dental. Dr. Purvis,Sandi,Nichole,Michelle & the entire team are excellent. I would highly recommend them.
  
 
     Posted on Google  
  
 
   Steve Knight 
 7 October 2026
 
 
  Had my first appointment today and would highly recommend Bridge Street Dental. Mackenzie was a great and patient hygienist and Dr. Lewis explained everything that I would need done moving forward. They are also very upfront explaining out of pocket cost and insurance coverage. Much appreciated!
  
 
     Posted on Google  
  
 
   Tima Reardon 
 1 October 2026
 
 
  Professional, friendly polite, gets the job done

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