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New Patient Forms:

New Patients, save time by printing out and completing the forms below before your first visit.

Medical/Dental History

Contact and Insurance Information

Financial Policy

Authorization to Release Information

Information Regarding Fillings

Privacy Policy

Privacy Acknowledgement Form


Thank you for visiting the website of Doctors Matthew Lahair and Ted Gallagher. Our site provides important information about our practice that will help you become familiar with Pediatric Dentistry and Orthodontics. Our office is committed to providing you with the highest quality of care. We will make every effort to ensure that your first visit with us is a comfortable and informative one.

Lahair and Gallagher Office Staff

Our practice has the specialized equipment, facilities, and staff to properly provide all aspects of pediatric dental healthcare for infants, children, young adults, and special needs patients.

In addition to maintaining your child's teeth and gums in good health and making dentistry a positive experience for your child, our office will also monitor your child's growth and development to properly assess their orthodontic needs. Orthodontic problems require specialized care. Patients who have dental and facial irregularities should be cared for as soon as possible. Early treatment will bring teeth, lips, and jaws into proper alignment for optimal facial balance.