Patient Forms

We want to welcome you to the Evergreen Family Dental family!

We are glad that you are interested in becoming a patient of Evergreen Family Dental . New patients are always welcome here. Everyone at Evergreen Family Dental is committed to making your visits pleasant and stress-free. You can count on our friendly, highly experienced staff to always provide the highest standard of dental care in a clean, state-of-the art environment. Your comfort is our top priority.

We look forward to seeing you soon!

Dr. Min-Sung Yoon & Dr. Na 

Click below to download New Patient Registration Materials


Dental Record Release - Fairfield Office.pdf
Dental Record Release - Southbury Office.pdf
HIPAA form.pdf
Medical-Dental History.pdf
Patient Registration form.pdf