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On your first visit we will
need some personal data and medical background information for our
records. Please bring us:
The name and telephone number of
your Medical Doctor The name of any medication you are taking.
Any Dental X-rays taken in the
last 5 years, if possible.
The name of your insurance
company and policy number, if you have dental insurance.
Please fill out our medical history form
(right-click to download on a PC). You may
print this one out or we can fax or mail you one. For children, please
fill out this children's
medical history form (right-click to
download on a PC).
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