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Please print out, fill out this form and bring it to your appointment. Thank you!
Patient Information
*Also remember your current medication list and dental insurance card.
Health History
We are in the process of going paperless! Our medical history is now able to be filled out at our office kiosk before your appointment. Our staff will be available should you need assistance. You can still use the form above as a guide.
Useful information that's important to read before your first appointment:
HIPAA Information
Office Policy
Insurance Info
Payment Options
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