Online Intake forms

New Patients please complete the appropriate Medical History, Hippa and our Financial Policy Form.

Medical History

Medical History (Youth ≤ 17)


Financial Policy

New Patient Information

At William Fessler Family Dentistry in Norwalk, CT, we treat each and every patient as if they were family. It is our goal to give you a positive and memorable experience every time you visit our office. Our patients are our greatest asset, and our best referral source! We are proud that many of our long-time patients encourage their friends and family to join our practice. From routine cleanings and fillings, to implants and teeth whitening, we are ready to meet all of your dental needs.


If for any reason you are unable to keep your appointment, please make every effort to give our office at least 24-hours notice. This way, we can give your reserved time slot to another patient, and continue to provide efficient service. We look forward to welcoming you into our dental family!

Your First Visit

During your first visit at William Fessler Family Dentistry, our staff will review your medical history and take the time to get to know you. Dr. Fessler will educate you on any conditions or symptoms you may be experiencing. Then, he will work with you to develop the best treatment plan for enhancing your smile, and maintaining good oral health.

Insurance & Billing

For your convenience, our staff submits to all insurance companies; whether in or out of network. Our doctor is in network with Delta Dental, some Anthem Blue Cross Blue Shield and Aetna Elite Dental. Please keep in mind that you are responsible for any treatment not covered by your insurance plan.


Our office accepts checks, cash, and all major credit cards. We also offer financing through CareCredit, an independent health care finance company with a number of payment plan options. To learn more, visit the CareCredit website today.