Printable Patient Forms
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Please print, complete and bring these FIVE forms with you to the first appointment.

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1. Financial Policy

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2. Heath History

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3. Treatment Consent

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4. Privacy Acknowledgment

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5. Filling Material Consent

Kids Cowboy Dentistry

Contact Us

For current patients with a dental emergency, please call (717) 569-4597

Kids Cowboy Dentistry

    Kids Cowboy Dentistry
    Kids Cowboy Dentistry
    Kids Cowboy Dentistry