Wednesday, February 22, 2012 Register
 
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What is here . . .

Here you will find forms that we need for our records (Patient Financial, Patient Medical and Financial Policy) as well as other documents that might pertain to your care and treatment.

If you are coming in for your first visit, please print and fill out the first three documents prior to  your visit.  If you do not have this information completed in advance of your visit, please arrive 15 minutes prior to your appointment to complete this necessary paperwork!

 
 
 
Forms / Documents
 TitleDescriptionSize
Patient MedicalInformation on the patient's dental and medical background.230.80 KB
Patient FinancialInformation about the patient, insurance, employer & emergency contact.526.25 KB
Financial PolicyExplaination of our Financial Policy including place for patient signature.68.34 KB
 
 

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