Please print and fill out all three forms prior to your first dental appointment. Thank you!
| medhis2022.pdf |
| Financial Policy |
| hipaa.pdf |
Notice of Privacy Practices form to read |
| medhis2022.pdf | |
| File Size: | 6041 kb |
| File Type: | |
| Financial Policy | |
| File Size: | 1603 kb |
| File Type: | |
| hipaa.pdf | |
| File Size: | 288 kb |
| File Type: | |
Notice of Privacy Practices form to read |
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248.689.9191
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Please give us 24 hours notice to reschedule any appointments.
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