Forms

First Things First
Patient Registration
Health Questionnaire
Privacy Acknowledgement
Billing Policy

First Things First

Please download and read this document to learn more about our procedures and the following forms.
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Patient Registration

Please download, print and complete the Patient Registration Form before coming to our office.
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Health Questionnaire

Please download, print and complete the Health Questionnaire before coming to our office.
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Privacy Acknowledgement

Please download, print and complete the Privacy Acknowledgement Form before coming to our office.
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Billing Policy

Please download, print and complete the Billing Policy Form before coming to our office.
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We Know a Thing or Two About Smiles

"My experience with Dr. Miles was exceptional. She listened to the patient issues and recommend the best course of action. My experience was like night and day compared to previous dentist. I can't thank Dr. Miles and her assistants enough. Absolutely recommend them to anyone who is in need of Periodontics work done. You can't go wrong there."

Edmund Hill

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