New Patient Information

Our Facility

Here in Newark, our dental team is very proud to offer patients an exceptional office space that promotes both comfort and state-of-the-art tools and techniques. You’re a valued member of our oral health family, and we want you to feel completely relaxed and at ease as we improve the health and beauty of your smile.


If you'd like to schedule a visit at White Clay Dental Associates, please contact us with a phone call or e-mail. We’re here to help, so if you or a loved one is experiencing a dental emergency, reach out to us as soon as you can so that we can schedule a time for treatment.

New Patient Forms

Save time in our waiting room! We've made our new patient forms available online for your convenience. Please click each form below, print, complete, and bring them in before your first appointment.

New Patient Information Medical History Form


Do you have insurance? Our dedicated front desk staff will be happy to fill out any necessary paperwork so that you receive the maximum benefits available from your plan. If you’re in need of in-depth care, we can also work with you to discuss your needs and develop a payment plan that works for your budget. Other forms of payment we accept include cash, check, or any major credit cards. Third-party financing is welcome too!


If, for whatever reason, you cannot make your scheduled appointment, please let us know at least 24 hours in advance so that we can offer that time to another patient. We reserve the right to charge a fee if a visit is missed with insufficient notice.

Thank you for choosing White Clay Dental Associates as your home for the oral health care you and your smile need.