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Dental Care

Forms are provided as a convenience to our patients.

Please download each form, complete the appropriate sections and bring them with you to our office.

Each form will note what format it's in.

    Dental Materials - The Facts About Fillings (Acrobat)

    Notice of Privacy Practices (Acrobat)

    Privacy Receipt Form (Acrobat)

    Health History Form (Acrobat)

Please read the
Notice of Privacy Practices
then print the Privacy Receipt Form, sign and date it,
and bring it with you to our office.

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