Please fill out all forms accurately and completely prior to your appointment.
Read our “How to..” below
HIPAA Privacy –
Click Here for the HIPAA form.
Insurance Info –
Click Here for the insurance form.
Appointment Policy –
Click Here for the insurance form.
Health History –
Click Here for the health history form.
Patient Information –
Click Here for the new patient form.
Record Release (from prior dentist) –
Click Here for the record release form.
Talk to us to learn more about which treatment and
what options are best for you.
Call us at 717-263-3123
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