Patient Forms

Patient Forms

Over 30 Years of Experience | Now Accepting New Patients

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Over 25 Years of Experience | Now Accepting New Patients

New Patient Packet & Covid-19 Questionnaire

We've simplified our check-in process.  Prior to your appointment, please fill out secure digital forms below and click submit.

Call for a Consultation

Ask About Our Health Savings Plan

(518) 392-5231
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"By far, the absolute best dentist I have ever worked with. Very kind, professional and skilled team. Dr. Riccobono designed an array of nine crowns to perfect my smile and I am thrilled with him and the results!"

- Donatella, Google Review

Learn More About

Countryside Dental

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