Dentistry, air abrasion, root canal, whitening, dental fear

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Please complete all of the forms listed below and bring them with you to your first office visit. If you are unable to complete these forms prior to your office visit, please allow extra time before your appointment to complete them.

Patient Forms	Privacy Documents
Medical Health History Form	Notice of Privacy Practices
Microsoft Word Version	Microsoft Word Version
Adobe PDF Version	Adobe PDF Version

Permission Form	HIPPA Forms
Microsoft Word Version	Microsoft Word Version
Adobe PDF Version	Adobe PDF Version

Registration Form
Microsoft Word Version
Adobe PDF Version

Treatment Polices
Microsoft Word Version
Adobe PDF Version

White Fillings
Microsoft Word Version
Adobe PDF Version

Thank You Form
Microsoft Word Version
Adobe PDF Version

Monday:	9am to 8pm
Tuesday:	9am to 9pm
Wednesday:	10am to 9pm
Thursday:	9am to 9pm
Friday:	9am to 1pm
Saturday:	9am to 4pm


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