Patient Resources

(Click on a Clipboard Link Below for the Forms and Information You Need)

For your convenience, we have grouped together the most commonly used forms and patient resources, below.  Simply select the type(s) of forms to complete by clicking on the applicable clipboard icon.  If you need assistance reading or understanding the forms, please contact our Hershey Family Dentistry office in Hershey, PA, at 717-533-4202.

New Patient Intake Forms


If you are a new patient who has not yet been seen at our office, please click on the “New Patient” clipboard link and complete/submit the patient information forms.  The forms will open in a new tab and be submitted securely to our office.  Thank you.

HIPAA Notice of Privacy Practices


We maintain a HIPAA (Health Insurance Portability and Accountability Act) compliant privacy policy.  Please click on the “HIPAA Notice of Privacy Practices” Clipboard to view, download and print our Privacy Policy.  The forms will open in a new tab and be submitted securely to our office.  Thank you.

Financial & Insurance Info


To file your payment information or an insurance claim, please click on the “Financial and Insurance Info” Clipboard to learn about payment options and to enjoy discounted billing by joining the PDC Dental Membership Club.  Thank you.

What Our Patients Say About Us:

Contact Us

Dr. William Svitko, DMD
1036 Cocoa Avenue
Hershey, PA  17033

Phone: 717-533-4202


Office Hours:

Mon: 8:00am – 5:00pm
8:00am – 5:00pm
Thu: 8:00am – 5:00pm
Fri: 8:00am – 2:00pm

Hershey Family Dentistry

Our Specialties:

Cosmetic Dentistry
Endodontics Dentistry
Periodontal Dentistry
Preventative Dentistry
Restorative Dentistry