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 182 reviews 
    
 
 
 
   
 
 
      Posted on Google  
   
   Darlene Troup 
 17 September 2026
 
 
  They are very nice and do a great job.
  
 
     Posted on Google  
   
   David SMITH 
 17 September 2026
 
 
  Very professional staff. Never had a problem over 30 yrs of care.0
  
 
     Posted on Google  
   
   Doug Gellatly 
 16 September 2026
 
 
  As usual, Dr Selcher and his staff were absolutely the best. I’ve experienced everything from root canals to filling over 30yrs of visits with my wife and children. I Highly  recomend this practice, I have a very low tolerence to pain and they have always kept me pain free. Wonderful & Caring.
  
 
     Posted on Google  
   
   James Bradford 
 14 September 2026
 
 
  Had two crowns made and installed.
  
 
     Posted on Google  
   
   EM Vezza 
 14 September 2026
 
 
  Everyone is personable. Nice atmoshere. Eileen is great!
  
 
     Posted on Google  
   
   Ginger Snap 
 14 September 2026
 
 
  I Love, Love, Love this Dentist & entire staff! ....and I Hate going to the Dentist!
  
 
     Posted on Google  
   
   Larry Lisenby 
 8 September 2026
 
 
  For Paula Lisenby:  This was amazing to be seen so quickly, an excellent examine that provided an unexpected and knowledgeable answer.
  
 
     Posted on Google  
   
   Ben Horst 
 2 September 2026
 
 
  I've been coming here for as long as I can remember, and the care has always been outstanding. The staff (especially Ann at the front desk) is friendly, professional, and genuinely cares about their patients. Appointments are always pleasant, and I trust this team completely. Highly recommend!
  
 
     Posted on Google  
   
   Lexi Meko 
 1 September 2026
 
 
  This is the only dentist office I will go to! I love every employee here! Special shout out to Jennine, Ann, Wendy, and my personal favorite Saundra! With Lots of Love <3
  
 
     Posted on Google  
   
   Tara Meko 
 1 September 2026
 
 
  Jennine, Ann and Wendy made my appointment a breeze. They are queens! This office always slays