Patient Forms

For your convenience, we offer secure online patient forms. Please complete the following patient forms in advance of your first appointment. This will allow us to process your information more rapidly.

New Patient Form »

HIPAA Form »

All patients should complete the Supplemental Consent and Health Questionnaire before every appointment. For your convenience, we offer this as a secure online form that is processed electronically. Please contact our office if you have any questions about this form.

Supplemental Consent & Health Questionnaire »

Patients seeking a TMJ / TMD evaluation must be complete and submit the online form below. Please contact our office if you have any questions about this form.

TMJ | TMD Evaluation Form »

Logo 2 Roland G. Nentwich D.D.S in Shrewsbury Holden, MA


D.D.S.  M.S.  P.C.

October 2023

Due to unforeseen circumstances, our offices have immediately and permanently closed. 

It has been our joy and privilege to serve the Shrewsbury and Holden communities for over 25 years. 

Thank you to all our former patients and their families and our referring dentists.  We wish you and our local orthodontic colleagues all the best.

For current patients, although we are unable to continue to offer orthodontic care, please be assured that we are working tirelessly to help ease your transition to new providers.  If you have specific questions or issues, please email us at  We are responding to messages as quickly as we are able.


All of us at
Dr. Roland Nentwich DDS MS

506 Main Street
Shrewsbury, MA 01545
1084 Main Street
Holden, MA 01520