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Patient Forms

The following Patient Forms can be printed from you computer and filled out at your leisure before your first appointment.

Please bring a Patient Registration Form, Medical History Form, Dental History, Financial and Appointment policy, and HIPAA Form for each patient.

Patient Registration.pdf

MedicalHistory.pdf

Dental History l.pdf

Financial and Appointment policy l.pdf

HIPAA Form l.pdf

 

NOTICE OF PRIVACY PRACTICES Oakside.pdf 

If you have records at another dentist, please fill out and send the Patent Record Request Form to them so that we will have that information at your first appointment.

PATIENT RECORD REQUEST FORM.pdf

 

If you have any questions, please do not hesitate to call us at:

(906) 863-6381

 

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