Pries Dental Care: General, Family & Cosmetic Dentistry Pries Dental Care: General, Family & Cosmetic Dentistry  


Downloadable Forms


New Patient Forms
These forms can be completed by printing and bringing them with you on your first office visit.
 
Health History - Page 1 Fax Authorization for Payment
Health History - Page 2 Dental Materials Fact Sheet - DMFS
HIPAA Privacy - Record Release Consent for Services


 
 

Accessing the Forms
You need the Adobe PDF program to access the forms. If you don't have the PDF program please read the easy-to-understand guidelines to install it.

 

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