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For your convenience, we have supplied a Health History Form in pdf format.
If you wish, click on the link below, print, complete the form at home, and
bring it with you to your first visit! We look forward to greeting you!
Patient Form
Privacy
Policy
Adobe Acrobat Free Reader
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Care Enough to Share Referral Program.
Receive a $50. Gift Card for each NEW patient referral.
Special New Patient Package Offer for $199.
(Valued between $350.00 and $450.00 in other offices around town)
Includes complete dental exam and consultation,
cleaning and polishing and necessary x-rays,
plus a complimentary take-home teeth whitening option upon request.
Simply complete the form below and we will contact you soon.
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