414 Lehigh St. | White Haven, PA 18661 (570) 443-9892

New Patient Information

What to Expect

Your first visit to Frank M. Glushefski, D.M.D., is an important one as it introduces you to our practice and our friendly staff.  During the first visit to our office, we will collect background information like medical history and dental insurance information as well as take the time to get to know Dr. Glushefski and his staff.  Below you will find additional information to view before your first visit to Also, to help ensure your first visit goes as smoothly as possible, we invite you to take a few minutes to explore our website to educate yourself about some of the dentistry and smile solutions we offer.


In order to make your visit an easy process, you can request an appointment from our website or call our office.  Our friendly staff will assist you in getting everything set up.


Our dental office will process most insurance, but we are not on any lists for DMO’s. For your convenience, we do offer CareCredit. If you have any questions about your dental insurance coverage, please contact our office and let our staff assist you.

Patient Forms

The below patient forms can be printed and completed before your first visit to expedite your check-in process:

Online Forms

Patient Registration Form – Adult
Patient Registration Form – Child

Printable Forms

Patient Registration Form – Adult
Patient Registration Form – Child


We look forward to your first visit!