WELCOME

Transfer Your Records

Thank you for choosing Coscarella Family Dentistry! Please use the form below to Transfer Your Records to our office and book an appointment.

    The above named patient(s) have recently become patient(s) at our office. I understand that you may have records/radiographs, would you kindly forward the patient's Odontogram, note history, specialist's reports, pre-determinations for any treatment in progress and copies of the treatment records from the last three years. If records are digital, please email them to frontdesk@coscarelladentistry.com, if not please mail or fax.