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ELECTIVE DENTAL TREATMENT NOTICE AND ACKNOWLEDGEMENT OF RISK FORM
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.
Print or Submit, but be sure to do one before your next visit - Thank you.
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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