Welcome New Patients
Welcome to North York Family Dental. Dr. Paluch and the staff would like to thank you for choosing our office. Our mission is to provide you with the highest quality dental care in a comfortable and fun setting.
We see all patients on an appointment basis and ask that you call in advance (717-764-9191) so that we may reserve time for you. We try to see all patients on time and ask that you extend the same courtesy while visiting our office.
We believe in the benefits of regular preventative care and encourage all patients to return for periodic recall visits. At the time of your recall visits, please advise the receptionist of any change to your address/phone number, marital status, employment or insurance coverage.
We see all patients on an appointment basis and ask that you call in advance (717-764-9191) so that we may reserve time for you. We try to see all patients on time and ask that you extend the same courtesy while visiting our office.
We believe in the benefits of regular preventative care and encourage all patients to return for periodic recall visits. At the time of your recall visits, please advise the receptionist of any change to your address/phone number, marital status, employment or insurance coverage.
New Patient Forms
The following documents are provided for your convenience. Feel free to print and complete prior to your first visit.
Patient Registration
Dental History
Medical History
Notice of Privacy Practices Acknowledgement
Financial Policy for North York Family Dental
Text Messaging and Email Consent Form
Terms of Use
Privacy Policy
Patient Registration
Dental History
Medical History
Notice of Privacy Practices Acknowledgement
Financial Policy for North York Family Dental
Text Messaging and Email Consent Form
Terms of Use
Privacy Policy
Insurance Info
Dental insurance is intended to cover a percentage, but not all of your dental care. Most plans include co-pays, a deductible, and other expenses which must be paid by the patient. We participate with:
Delta Dental Premier
Met-Life
United Concordia
UPMC through the hospital
We will process all other insurances through electronic claims process. If you have dental insurance, please bring your plan information with you to your first visit. We will work with you to assure you receive the maximum benefits to which you are entitled. Please ask any questions you may have regarding insurance.
Delta Dental Premier
Met-Life
United Concordia
UPMC through the hospital
We will process all other insurances through electronic claims process. If you have dental insurance, please bring your plan information with you to your first visit. We will work with you to assure you receive the maximum benefits to which you are entitled. Please ask any questions you may have regarding insurance.