Advanced Dentistry with Traditional Values™


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Located below are medical history and information forms.  We ask you to complete the history forms prior to your appointment and bring them with you.  Kindly read through these enclosures as we will ask you to endorse them with your signature when you arrive for your appointment.


Head Health History


Headache History


Medical History


How to Prepare for Your Appointment


Authorization for Release of Identifying Health Information


Financial & Office Policy Form


​Notice of Privacy Practices

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PATIENT FORMS