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Patient Forms

Please complete the following packet, print out and bring with you to your appointment along with an id and insurance card

Complete patient Form

For individual forms, see the forms listed below:

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Greetings from the Hygiene Department
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Patient Consent Form
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Page 1 - Patient Consent Form
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Page 5 - Financial Information
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Page 2 & 3 - Health History Form
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Smile Assessment Form
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Hippa Form