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Please review and complete these forms as needed and either email, fax or bring them in during your next visit:
Patient Information
Please use the Word file for completing electronically, or the PDF version for completing a printed version
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Word |
PDF |
Request to Transfer Dental Records to Comeaux DDS
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Word |
PDF |
Comeaux DDS Financial Policy
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Word |
PDF |
Notice of Privacy Practice
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Word |
PDF |
HIPPA Consent |
Word |
PDF |
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