Pediatric Dental Excellence

3300 Henry Ave Falls Center

Unit 1 East Falls PA 19129

Dental Records Request

Please complete the form below to request: starting school paperwork, dental records, or school/work excuse notes. Please know only a patient’s parent or legal guardian can request forms. Forms will be sent to the email you provide below.


Child welfare representatives should email their paperwork requests directly to records@pediatricdentalexcellence.com.


We are Passionate About Teeth, and Serious About Fun!