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(207)549-5945

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  • More
    • Home
    • SERVICES
    • STAFF
    • CONTACT
    • COMMUNITY
    • BEFORE AND AFTER
    • REVIEWS
    • NEWSLETTER
    • OFFICE FORMS
    • ORAL CARE PRODUCTS

(207)549-5945

  • Home
  • SERVICES
  • STAFF
  • CONTACT
  • COMMUNITY
  • BEFORE AND AFTER
  • REVIEWS
  • NEWSLETTER
  • OFFICE FORMS
  • ORAL CARE PRODUCTS

OFFICE FORMS

Please download the appropriate forms and bring along to your appointment. 

If you have questions about the forms, please call (207)549-5945.

Adult Health History (pdf)Download
Child Health History (pdf)Download
PRIVACY POLICY (pdf)Download
FINANCIAL POLICY (pdf)Download
SMILE EVALUATION (pdf)Download
RECORDS RELEASE (pdf)Download
HIPAA Notice of Privacy Practices (pdf)Download

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