Sara Stock, D.D.S. & Associates

A Multi-Specialty Group Practice
1425 Beacon Street Brookline, MA 02446
Sara Stock, D.D.S.
Sandra Choo-Stevo, D.D.S., M.P.H.
Christine Kirk, D.D.S., F.A.G.D.
Caroline B. Faris, D.M.D., D.M.Sc.
 
 

Patient Forms

We'll need you to fill out a few forms and review documents related to your service.  You may download and complete, these forms in advance bringing the completed copy with you to your first visit.  With downloaded documents at your ready there's no need to worry about having all your information when you need it.


All documents are available in both Microsoft Word and Adobe PDF formats

iconsmflowerHIPAA Policy

downloadpdf downloadword
 

iconsmflowerHIPAA Acknowledgment

downloadpdf downloadword
 

iconsmflowerContact / Insurance Information

downloadpdf downloadword
 

iconsmflowerHealth History

downloadpdf downloadword
 

iconsmflowerCancellation Policy

downloadpdf downloadword
 

Request an Appointment

  • Please fill out the email form below and press 'Submit'.
  • An email will be sent to the address you provided as confirmation of your appointment request submission
  • We will review our schedule and contact you within 24 hours to review your options.
  • If you wish to cancel an appointment please do not use the email from below. Call our office directly at 1-617-731-3364 and we will be happy to assist you with your cancellation or you may leave a message if calling after business hours.
Name:
Email:

Day-Time Phone Number: (format xxx - xxx - xxxx )

 

What week would you like to schedule your appoitnment?
Please select the month and the week you would like to schedule your appointment for
Week                                          Month                         Time of Day

Optional - You may also select a secondary time frame in the event your primary selection is not available
Week                                          Month                     Time of Day
comments / special instructions -optional-
  

What is HIPPA?

The HIPPA Privacy Rule, a Federal law, gives you rights over your health information and sets rules and limits on who can look at and receive your health information.

 

For complete details visit The United Stated Deaprtment of Health and Human Services: http://www.hhs.gov

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Step inside and look around our office!

Sara Stock, D.D.S. & Associates
1425 Beacon Street
Brookline, MA 02446

Google Map

 

617.731.3364
frontdesk@smilebrookline.com

 Office Hours
Monday 11am - 8pm
Tuesday 10am - 8pm
Wednesday 8am - 6pm
Thursday 8am - 5pm
Friday 8am - 5pm
Saturday 8am - 2pm (Sept - June)
copyright
Copyright 2010 -  Sara Stock, D.D.S. & Associates