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OFFICE LOCATIONS

SHADYSIDE
5750 Centre Avenue
Pittsburgh, PA 15206
(412) 661-8255

SOUTH HILLS
101 Drake Road
Pittsburgh, PA 15241
(412) 831-3373

Patient Forms
The patient history form below is provided for your convenience to print and complete prior to your scheduled appointment. We will also have copies available at your appointment if you would prefer to fill it out in the office.

Patient History Form

Cupelli Dentistry is committed to keeping your information secure. This privacy information is available to help patients understand how Cupelli Dentistry remains in compliance with federal, state and foreign laws.

HIPAA Patient Acknowledgment
Notice of Privacy Practices (Shadyside)
Notice of Privacy Practices (South Hills)