Save time and hassle by printing our New Patient Forms and filling them out at home. Just be sure to bring them with you to your appointment!
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| New Patient Form 1 |
Please make sure you fill out ALL the information
the New Patient Forms ask for.
Thank you!
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| New Patient Form 2 |
Dental Procedures: Inform consent indicates your awareness of sufficient information to allow you to make an informed personal choice concerning your child's dental treatment after considering the risks, benefits and alternatives.
Please read this form carefully and ask about anything you do not understand. We will be pleased to further explain it to you!
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| Dental Procedures |
HIPAA: By signing this form, you will consent to our use of disclosure of your protected health information to carry out treatment, payment activities and healthcare operations.
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| HIPAA |
Patient Management Techniques: Some of the child's behaviors can interfere with the proper provision of dental care. All efforts will be made to obtain the cooperation of the child by the use of warmth, friendliness, persuasion, humor, charm gentleness, kindness and understanding.
The most frequently used pediatric behavior management techniques in this office can be summarized as followed.
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| Patient Management |
