Patient information form: (Please print out the form and then fill it in)

LPD_Patient_Medical_and_Dental_History.pdf

 

Release of health information form:

LPD_Consent_and_Disclosure_of_Personal_Health_Info.pdf

 

Notice of Privacy Policies Document:

LPD_Notice_of_Privacy_Policies.pdf

 

Getting To Know Your Child Document:

LPD--Getting_To_Know_Your_Child.pdf

 

Release of records form:

Patient_authorization_to_release_confidential_information.doc

 

Caries Information Sheet:

Dental_Caries_almost_100_percent_preventable.pdf

 

Tooth Eruption Chart:

Tooth_Eruption.pdf

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