Patient Registration

New Patients

Thank you for scheduling your first appointment with Campi Dental. We want to welcome you to the Campi Dental family and make sure your first visit goes as smooth as possible. You’ll learn quickly that our patients are family to us and everything we do is to improve your experience with us. Your initial appointment will consist of an examination and review of your treatment options. Treatment can often be done or started the same day as the initial consultation.

To allow our team to properly prepare for your visit please click below to complete the New Patient Registration Form. 

Existing Patients

Thank you for your continued trust and loyalty as a patient of Campi Dental. We look at every patient as family and we’re proud to have served the members of Monmouth and Ocean Counties since 1933. We’re looking forward to seeing you at your next appointment, and as always, we’ll do everything we can to make your visit comfortable.

In order for our team to continue to treat you in the best way possible, we need to keep your patient profile up to date. Please complete the below questionnaire to ensure we’re informed of your latest health information. 

Please call our team at Campi Dental office Phone Number 732-449-2228 if you have any questions related to completing the forms or your upcoming appointment. It will be our pleasure to assist you in preparing for your appointment.

You can also assist us by providing the following information at the time of your upcoming consultation:

  • A list of medications you are currently taking
  • If you have dental insurance, bring the necessary completed forms. This will save time and allow us to help you process any claims
  • Any x-rays taken by a previous dentist, if applicable

IMPORTANT: All patients under the age of 18 must be accompanied by a parent or guardian.

Please alert the office if you have a medical condition that may be of concern prior to treatment (i.e., diabetes, high blood pressure, artificial heart valves and joints, rheumatic fever, etc.) or if you are currently taking any medication (i.e., heart medications, aspirin, anticoagulant therapy, etc.).


Call our office with any questions about completing our registration forms.
Call us: 732-449-2228 Schedule An Appointment