New Patient Forms

Please complete the following forms in advance of your first visit:

What happens at the first visit?

Your first visit to Smile Logic is easy:

  • Tour of office
  • X-ray
  • Review of health history
  • Checkup by Dr. Viechnicki
  • Treatment recommendation

Please allow an hour for the appointment.

If Dr. Viechnicki recommends treatment at this time, then there will be time to discuss the particulars of getting started with our treatment coordinator.

What happens afterward?

You can get started with treatment the same day by making a payment for the portion not covered by insurance.

We accept the following:

  • Cash
  • Check
  • Credit card
  • Flexible spending account

If you choose not to get started at your first visit, we will ask you to follow up with us by phone or by email once you make a decision.

Typically, that means (1) calling 732-274-2211 to schedule an appointment to start treatment or (2) letting us know that you are putting the treatment on hold.