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New Patient Forms

All new patients need to complete the following forms

Medical History

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General Consent

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Financial Agreement

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Dental Questionnaire

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HIPPA

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Records Release

Please complete if you would like us to obtain your records from a previous dentist.

Notice Of Privacy Policy

No signature required

Berlin Questionnaire

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4600 Marriott Dr

Ste 330

Raleigh, NC 27612

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