Forms

Instructions: (These files are PDF format.)*
1.) Read " Notice of Privacy Practices."
2.) Print, read, sign and bring "Acknowledgement of Privacy Practices" to your first visit.
3.) Print, read, sign and bring "Financial and Cancellation Policies" to your first visit.
4.) Print, read, fill out and bring the "Dental Registration and History" to your first visit.

*If you are having trouble, you may not have Adobe Reader installed on your computer. Please click icon below to install so you can read and print these forms.

 

 

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