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Every day do something that will bring you closer to a better tomorrow.
-Doug Firebaugh
 
 
     
New Patient Information Forms Package


This PDF document (CLICK THE IMAGE TO THE RIGHT) contains all the forms you will need to start the process of becoming a patient here at Health Centered Dentistry. Please fill out these forms, and mail them back to us (we need the original signatures). We will review the information to determine which type of new patient intial exam would best suit your situation. As soon as we have an opening for that type of initial exam we will call you to see what would best fit your schedule.
New Patient Information Forms
Forms for additional Family Members
Additional Patient Forms - Only


This PDF document (CLICK THE IMAGE TO THE LEFT) has all the forms you will need for additional members of your family to begin the new patient process. Please have the person fill out these forms, and mail them back to us (we need the original signatures).  As soon as we have an opening for that type of initial exam we will call you to see what would best fit your schedule.
Map & Directions


This PDF document (CLICK THE IMAGE TO THE RIGHT) contains a map and directions from a variety of different locations. All of these pages can also be found in the above "New Patient Information Forms Package." This is just a separate file in case the map / directions become misplaced.
Map and Directions to Health Centered Dentistry

 
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