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Home
About
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Testimonials
Patient Info
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Contact

Home
About
Services
Smile Gallery
Testimonials
Patient Info
- Forms
- Financial
- FAQs
Contact

Menu

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About
Services
Smile Gallery
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New Patient Forms

Want to get a head start? Download or fill in the new-patient forms below.

These documents are also in Adobe PDF format. If you cannot read PDF files, please download free Adobe Acrobat Reader here.

Patient Registration Form PDF

Patient Insurance Form PDF

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Hours, Location and Contact Information

Have Questions? Get in Touch

Fairfield Dentistry: Jack Vayner, DDS

1735 Post Rd. Ste.8
Fairfield, CT 06824
Phone: (203) 336-1275

Hours

Mon 8:00AM - 6:00PM
Tue 7:00AM - 5:00PM
Wed 8:00AM - 6:00PM
Thu 8:00AM - 5:00PM
Fri 8:00AM - 4:00PM

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Jack Vayner, DDS – (203) 336-1275

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