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ELECTIVE DENTAL TREATMENT NOTICE AND ACKNOWLEDGEMENT OF RISK FORM
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Our top priority is the safety of our patients, staff, and community. This document is to serve as information to acknowledge and understand regarding safety and dental care.
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Print or Submit, but be sure to do one before your next visit - Thank you.
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DOWNLOAD A PRINTABLE COPY OF THE FORM
For the most up-to-date information on our accepted dental insurance plans contact our office directly at 610-691-6200
Save time when visiting the office and download all your patient forms here
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