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