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The New Patient form is in PDF format, which can be read using Adobe Acrobat Reader. If you do not have Adobe Acrobat Reader, get a free copy by clicking on the link below.
When you have Acrobat Reader, click on the link below to download the New Patient form. (If you are on a dial-up modem connection, please be patient - it may take a minute or two). Then print the form, fill it out, and bring it with you on your first visit. Also, please review our Notice of Privacy Practices and then print the Acknowledgement form: Acknowledgement of Privacy Practices (web page) Print the forms, fill them out, and bring them with you on your first visit.
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© Copyright 2003- Dental WebSmith, Inc. and Michael Stoker, DDS. All rights reserved. Disclaimer: The information provided within is intended to help you better understand dental conditions and procedures. It is not meant to serve as delivery of medical or dental care. If you have specific questions or concerns, contact your health care provider. |
