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Patient forms

You will be asked during the registration form to sign our HIPAA Consent form. We ask that you review the following form prior to signing:

 

Please complete the forms below, save to your desktop, and Email to: Info@thefutureofdentistry.com

If you do not have access to a computer on a regular basis, please arrive for your appointment 15 minutes early and you may complete these forms here in the office.


 

Current Patients

Medical History updates are required every 3 years or when any medical changes occure. If you need to update your medical history Please complete the forms below, save to your desktop, and then

 

Email to: Info@thefutureofdentistry.com

If you do not have access to a computer on a regular basis, please arrive for your appointment 15 minutes early and you may complete these forms here in the office.