New Patients

New Patient Forms

At Justa Farm Dental Esthetics, we value your time and strive to process all the necessary paperwork as quickly and efficiently as possible. For your convenience and to maximize your time, we ask that you complete the following paperwork at home and bring the completed forms with you on your first visit. If you have any problems printing these forms, please let us know immediately. We are here to help.

Payment Methods

Because everyone’s finances are different, we provide numerous payment and deferred payment options. Our patients can choose a payment plan offered through Care Credit. We also accept Visa, MasterCard, Discover, and American Express.


Justa Farm Dental Esthetics accepts almost all major dental insurance plans. We help our patients maximize benefits. However, due to the high quality of care for which we strive, we are unable to accept HMO plans. If you have any questions about financing your dental procedures, please feel free to contact us.

Call us today at (215) 322-8711 to schedule convenient appointments for your entire family. Our Huntingdon Valley family and cosmetic dentistry practice provides expert dental care to patients in Montgomery, Bucks, and Philadelphia counties. Residents of Southampton, Huntingdon Valley, Willow Grove, Warminster, Warrington, Hatboro and Bryn Athyn will find our office conveniently located in the Justa Farm Shopping Center on County Line Road.

Please fill out the New Patient Form below.

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