Richard J. Walicki, DMD

General & Cosmetic Dentistry in Philadelphia, PA Since 1990

Address

2260 E. Allegheny Avenue
Philadelphia, PA 19134

Placecodes.com/PhillyDentist

For an appointment call

215-634-7006

Address

2260 E. Allegheny Avenue
Philadelphia, PA  19134
Placecodes.com/PhillyDentist

For an appointment call

215-634-7006

Patient Forms

Form Description
Health History (English Language)

Download the form here (click the text on the left) and fill out your health history information in the comfort of your own home (where you typically have easier access to your records).

Health History (Język Polski)

Proszę kliknąć w tekst po lewej, pobrać formularz i wypełnić go dokładnie.  Wygodniej uczynić to w domu gdzie każdy ma na ogół łatwy dostęp do wszelkich informacji dotyczących własnego zdrowia.

Health History (En español)

Descargue aquí el formulario (haga clic en el texto a la izquierda) y rellene la información de su historia de salud en la comodidad de su propia casa (en la que suelen tener un acceso más fácil a sus archivos).

General Post-Op Instructions

These are general post-op instructions for several common procedures, and represent a summary of guidelines we will have reviewed during your office visit. If you are having symptoms not covered here or have a dental emergency, please contact the office directly.

Post-Extraction Instructions

These are post-op instructions for the related procedure, and represent a summary of guidelines we will have reviewed during your office visit.  If you are experiencing symptoms not covered here or have a dental emergency, please contact the office directly.