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| Welcome! | |||||||||||||||
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Filling out forms on-line will save you time when your child arrives for visits with us. |
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| Registration | Appointments | ||||||||||||||
| For new patients of our practice or patients who have not visited our practice in two or more years. Our forms are sent over a secure site. If you are not comfortable sending the forms on-line, please print them and either mail or fax them to us prior to your child's appointment. | Here you may request appointments or change an existing appointment. | ||||||||||||||
| Privacy Policy | |||||||||||||||
| New regulations require us to inform all patients of record of their rights regarding their dental records. Please read this section and submit your acknowledgment. | |||||||||||||||
| Update | |||||||||||||||
| Use this form to notify us of changes in your dental insurance, contact information or significant health changes for your child. This will allow us time to prepare for your child's next visit with us and to avoid unnecessary delays when you arrive at the office. | |||||||||||||||
| Note | |||||||||||||||
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We have been informed by our secure server provider that Internet Explorer version 5.5 or higher is needed to support the encryption of the forms. If you do not have Internet Explorer 5.5 or higher, it may prevent proper transmission. If you are having difficulties submitting forms on-line, please record the error message so we may contact our ISP to help resolve the problem. Thank you. |
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