Patient Forms

Patient Forms

Click on the links below to download the Patient Forms :

Financial Agreement

New Patient Information

Notice and Acknolwedgement of Privacy to Patients

Authorization for Release of Records


Skilled, professional, courteous

This group of professionals don’t leave me in the waiting room for long periods of time. They get me in on time, do very thorough work and answer any questions I have. They show me my x-rays and explain any points of concern. I appreciate their congeniality and the attention to detail from everyone there.

Hal F.06/02/2017

The greatest Dental office in Ithaca

Had my six month cleaning today with Jana. It was a great experience. My teeth feel fantastic. All of the staff is friendly and helpful. Dr Zobel is the best.

Margie H.31/01/2017

Zobel, 2333 N. Triphammer Rd. Village Office Campus Ste. 303 Ithaca, NY 14850

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