Animal Dental Specialists of Upstate New York

6867 East Genesee Street
Fayetteville, NY 13066


Below are some our hospital forms.  Please familiarize yourself with them ahead of your appointment.  Filling out the appropriate forms ahead of time may help facilitate a quicker check in and/or appointment.  Feel free to call our office if you have questions regarding which forms are appropriate for your appointment.

File NameDescription / Comment
Drop Off QuestionnaireIf your pet is being dropped off for a surgical procedure, you can fill out this form ahead of time and bring it with you for a quicker check in process.
Medical Authorization FormPlease review this form ahead of your dental procedure appointment for a quicker check in.
Medical Record Release FormIf you would like your pet's medical records release to anyone other than yourself and your referring/regular veterinarian, please fill out this form and return it to our office by email, fax, or postal mail.
New Client FormYou can fill this form out and bring it with you to your first appointment for a quicker check in.
Referral Form -- FOR DVMsThis form is to be filled out by your regular veterinarian and sent to our office ahead of your appointment.


Day Open Close
Monday *7:00am 6:00pm
Tuesday *7:00am 6:00pm
Wednesday *7:00am 6:00pm
Thursday *7:00am 6:00pm
Friday 7:00am 2:00pm
Saturday Closed Closed
Sunday Closed Closed

*Scheduled surgical procedure days.

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Phone:  315-445-5640


Fear Free Certified Professionals