Middletown Dental Services

Patient Resources

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

For your convenience, we have grouped together the most commonly used forms and 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 Premier Dental of Carlisle office.

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 Privacy Notice

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 Policy

To see our payment policy or how we help you file an insurance claim, please click on the “Financial Policy” Clipboard to learn about payment options and to enjoy discounted billing by joining the PDC Dental Membership Club. Thank you.

What Our Patients are Saying about Us

      EXCELLENT  
   Based on 207 reviews 
    
 
 
 
   
 
 
      Posted on Google  
   
   B Light 
 28 October 2026
 
 
  First time visit with Middletown Dental Services!  From front office staff, to Riley, my hygienist and Dr. Selcher, everyone was so kind!  I had a wonderful experience and highly recommend!
  
 
     Posted on Google  
   
   Dana Bussa 
 26 October 2026
 
 
  So far the staff have been very friendly and willing to help me with anything I need. Got me in on the same day as I called!!
  
 
     Posted on Google  
   
   Brian Miller 
 23 October 2026
 
 
  Today’s visit went very well. Little time was spent in the waiting area. The hygienist did a thorough job of cleaning my teeth. Following the cleaning, there was little time spent waiting for the dentist to examine my teeth.
  
 
     Posted on Google  
   
   Heidi Murray 
 22 October 2026
 
 
  I have been using this dentist for 30 years. The help is always so gracious and kind and Dr. Selcher is the best!!
  
 
     Posted on Google  
   
   Keith Markham 
 22 October 2026
 
 
  Friendly service.
  
 
     Posted on Google  
   
   NavyVetUssEisenhower 
 22 October 2026
 
 
  A fantastic practice with fantastic staff. They will be my dental office for as long as they’re in business.
  
 
     Posted on Google  
   
   Patricia Souders 
 20 October 2026
 
 
  Been a patient for over 25yrs, best dentist, Dr Selcher and staff exceptional....
  
 
     Posted on Google  
   
   David SMITH 
 19 October 2026
 
 
  Very professional staff. Never had a problem over 30 yrs of care.0
  
 
     Posted on Google  
   
   Harold Shaeffer 
 15 October 2026
 
 
  I have been going to this Dental service for years. Never had a bad experience. Very friendly staff.
  
 
     Posted on Google  
   
   Lynne Hamann 
 14 October 2026
 
 
  Great from start to finish.  That you Middletown Dental.