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New Patients

Thank you so much for choosing Dr. Jones to be your dentist.  We will do our very best to take care of you.  Please print and fill out the documents below before your visit and give them to the front desk upon your arrival.  The Notice of Privacy Practices does not need to be printed unless you desire to keep a copy for yourself.

 

Patient Welcome

Office Cancellation Policy

Payment Policy

Notice of Privacy Practices (only print for your benefit)

Privacy Practices Acknowledgement (says you were given a chance to read Notice of Privacy Practices)

 

If you are transfering doctors, please fill out Transfer Authorization Form.  This will allow us to release your records to your new dentist or allow us to receive your old records from your previous dentist.