Paulisin DENTAL - Family Dentistry
 

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Patient Forms

All patients:  Please download and fill out this

COVID-19 Acknowledgement of Risk Form.  PDF

And if necessary, these new versions of forms:

You can download the following forms for printing:

  1. Medical and Dental History
  2. Registration
  3. Privacy Practices

Click to open/download
    Forms for an Adult 
or
    Forms for a Child (under 18)

Please print the forms, complete them then bring them to the office when you visit.

You will need a PDF reader to open the forms.

If you do not already have a PDF reader installed, you may download the Adobe Acrobat PDF Reader, available here.