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New Patient Forms

Save time waiting in our office by filling out necessary forms online. Feel free to give us a call if you have any questions.

HIPAA Policy

HIPAA Acknowledgement Form

Adult Dental History Form

Adult Medical History Form

Child Medical History Form

Payment Arrangements

Financial Policy

Have Questions? Get in Touch
If you have difficulty using our website, please email us or call us at (219) 779-9114
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