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New Patient Forms

Please print the first three forms on the left hand side. If you would like to have your previous dental records transfer to our office,

please print Transfer your records here. Please bring completed forms with you to your first appointment.


Patient Agreement Form Treatment of Minor Authorization
Dental-Medical History Form Notice of Non-discrimination
Privacy Policy Acknowledgement Form HIPAA (Privacy Policy)
Transfer your records here

If you need assistance with downloading or printing these forms, please contact our Woodbury dental office at 651.730.9266.

For your convenience, our New Patient Forms are available for download here in Adobe Acrobat PDF format.

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