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The New Patient forms are in PDF format, which can be read using Adobe Acrobat Reader. If you do not have Adobe Acrobat Reader, get a free copy by clicking on the link below.

Adobe Reader

When you have Acrobat Reader, click on the links below to download the New Patient forms. Then print the forms, fill them out, and bring them with you on your first visit. Also, after reading the Notice of Privacy Practices, print the Acknowledgement form below, sign it, and bring it in, too.

PDFAcquaintance Record

PDFAuthorization to Treat

PDFFinancial Policy

Acknowledgement of Receipt of Notice of Privacy Practices (web page)

 

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© Copyright 2004- Dental WebSmith, Inc. and Watts Dental, PLLC. All rights reserved. Disclaimer: The information provided within is intended to help you better understand dental conditions and procedures. It is not meant to serve as delivery of medical or dental care. If you have specific questions or concerns, contact your health care provider.

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