top of page
Advanced Oral Surgery of the Finger Lakes
Pasquale Scutari, Jr., D.D.S.
​
Call us: (607) 277-7007
advancedoralsurgeryfingerlakes@gmail.com
If you are visiting our office for the first time, please print and fill out the first 5 forms below and bring them with you to your consultation
- please remember to bring your Dental and Health Insurance cards
Click here to download and print Patient Demographics Form
Click here to download and print Patient Medical History Form
Click here to download and print E-Prescribe form
Click here to download and print Notice of Privacy Practices
Click here to download and print our Payment Policy
Release of Patient Records Forms
(for existing Dr. Scutari Patients)
Use this form to have records from another provider released to Advanced Oral Surgery
Use this form to have records from Advanced Oral Surgery released to another provider
bottom of page