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Call Us: (717) 569-4597 Send Fax: (717) 569-2757 Aaron D. Miller, DMD PC 394 E Roseville Rd. Lancaster, PA 17601

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Printable Patient Forms
Home › Printable Patient Forms

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

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