We Make Your Smile Sing
Dr. Robert Clapcich
New Patient Forms

Patient Information

With Us, It’s Easy to Achieve the Smile You Want!

No matter your dental needs or the state of your smile, at the dental office of Dr. Robert Clapcich, we can help you get back on track to your healthiest, most beautiful smile. Through state-of-the-art, comfortable dental care, our team helps patients of all ages achieve and maintain dental and oral health. Our office is currently accepting new patients; let us be the practice you trust for all of your family’s dental needs. Call our friendly staff with any questions or to set an appointment!


We are currently accepting new patients! Please call our office at 973-379-2525 to set up an appointment. If for some reason you are unable to make your scheduled appointment time, please call us with at least 24-hours notice to reschedule.

What to Bring to Your First Appointment

• Insurance Information/Card
• Photo Identification
• Any relevant medical records
Please arrive to your first appointment 15 minutes early to fill out our patient forms. If you would like to complete this paperwork before your appointment, please print and fill out the forms below.

Patient Forms

To save time in the office before your first appointment, you can download, print and fill out the following forms and bring them with you.
New Patient Forms


Our office processes most dental insurance plans. We will prepare any necessary forms for your dental benefits. However, please familiarize yourself with your benefit maximums, deductibles, and covered percentages, as your specific policy is an agreement between you and your insurance company.

Patients are responsible for their total obligation if insurance benefits provide less coverage than anticipated. We do not render services based on the assumption the insurance companies will pay our fees–we provide the services that are best for your dental and oral health. Your benefits are contracted between your employer and your insurance company.


Payment is expected at the time services are rendered, unless you have made other arrangements with us prior to your appointment. This includes any copayments or deductibles. For your convenience, we accept cash, most major credit cards, and CareCredit.

Patient Information, Millburn, NJ

Need More Info?

For more information about our services or to schedule an appointment, contact us today at 973-379-2525. We look forward to meeting you and your family!

Monday: 8:00 AM – 6:00 PM
Tuesday: 8:00 AM – 6:00 PM
Wednesday: 11:00 AM – 5:00 PM
Thursday: 8:00 AM – 5:00 PM
Friday: Closed
Saturday: 9:00 AM – 2:00 PM