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Patient Forms

If you are a new patient to our office, please contact us to receive the new patient forms that will need to be filled out when you arrive for your initial appointment. These may be delivered via email, fax or USPS.  Completing in advance and bringing them with you will allow us to attend to your dental needs more quickly than completing them on your arrival.  Thank you and please call our office if you have any questions at all.

 

Patient Medical History Form 

HIPAA Policy Form

Financial Policy Form

 

 This web site uses files in Adobe Acrobat Portable Document Format  (pdf) which require Adobe® Acrobat® Reader for viewing and printing. It is available to download free.

217 W MAIN ST|SLEEPY EYE, MN 56085|MAP & Directions

Call: (507) 794-4361