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Office Forms (PDF)
Please feel free to download our dental office forms. These forms are fillable, meaning they can be completed on a computer and then saved or printed. You can either fax the completed documents to our office fax number, 1(770)579-0340, or print them out and bring them with you to our office. 

PLEASE DO NOT E-MAIL THE FORMS TO OUR OFFICE. 
The information you provide is part of your private medical record. Sending these documents via e-mail will compromise the security of the personal and medical information you provide. 
  
History and Registration Form.pdf

Notice of Privacy Practices.pdf

Patient Release Form.pdf

Dental Insurance Coverage.pdf

Cancellations.pdf

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