ROBERT A. BARTUSIAK, D.M.D
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​ROBERT A. BARTUSIAK, D.M.D

Cosmetic,  Family,  &  Implant  Dentistry

​​ 2000 Waterdam Plaza Dr.
​Suite 280

 McMurray, PA 15317

724.941.3090
drrbartusiak@verizon.net

Patient Forms

New Patients

New Patient Registration
This form is for NEW PATIENTS ONLY. Please fill out this form as well as the COVID-19 form below prior to your appointment. 
New patient COVID-19 Prescreening Form
This form is for NEW PATIENTS ONLY. Please fill out this form as well as the New Patient Form above prior to your appointment.

existing patients

Existing Patient COVID-19 Prescreening Form
For EXISTING PATIENTS ONLY. This form includes the COVID-19 form. Please fill this out prior to your appointment. 

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  • Home
  • About the Doctor
  • About the Staff
  • Location
  • Our Services & Products
  • Patient Forms
  • Testimonials
  • Smile Gallery
  • Contact Us
  • COVID-19 Reopening