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Printable Forms

For your convenience, you may download, print and fill out the following forms and bring them to your next appointment:

Pre-Sedation Instructions at Sedation Center
Medical Clearance - Sedation Center
Medical Clearance For Dental Treatment Form
Release of Records
Treatment Decision Assignment
HIPAA Notice of Privacy Practices
List of Insurances Accepted

American Dental Plan Forms

American Dental Plan - New Patient Special
American Dental Plan - Recall Visits for patients of record
American Dental Plan - Limited Edition
American Dental Plan - American Aesthetic Dentistry New Patient Special

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