333 Thompson Run Road Pittsburgh, PA 15237 (412) 486-7344 bobdmd1@gmail.com

Robert E. Rosswog, DMD, PC | General & Family Dentistry - Pittsburgh PARobert E. Rosswog, DMD, PC

Downloadable Forms

New Patients.  After reading our New Patient Welcome Letter below, please print out and fill in forms 1 -4.  Bring these forms with you to your first appointment along with your ID and insurance card (if applicable).

We all look forward to meeting you!

Thank you,

Dr. Bob Rosswog and Staff

New Patient Welcome Letter

(1) Notice of Privacy Acts

(2) New Patient Registration

(3) Medical History Form

(4)Financial Agreement Form

DON'T HAVE INSURANCE?  CLICK HERE TO LEARN MORE ABOUT OUR IN-OFFICE DISCOUNT PROGRAM

Robert E. Rosswog, DMD, PC

Office Hours

  • Monday 12pm -7pm
  • Tuesday 8am - 1pm 2pm - 5pm
  • Wednesday 8am - 1pm 2pm - 6pm
  • Thursday 8am - 1pm 2pm - 5pm
  • Friday Closed
  • Saturday Closed
  • Sunday Closed

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