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Please click on the links below to download the three new patient forms.
Notice of Privacy Practies Form
Download: Word Doc | PDF
Notice of Privacy Practices Form (Acknowledgement of Receipt)
Downlaod
: Word Doc | PDF
Authorization for Release of Information
Download: Word Doc | PDF
Please contact Kim if you have any questions regardin the new patient forms for our dentist office. You can also speak with her to schedule new appointments, or with questions concerning an upcoming appointment, questions about your dental treatment options or for questions concerning dental patient care.
Contact Kim Gragg
Office Manager; Certified Dental Assistant
(828) 264-3211 | »email Kim
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