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If
you would like to complete your registration forms before you arrive, you
may download them by clicking below. Be sure to print out all 5 forms.
The
medical history form and insurance information form are in PDF format. If
you do not have Acrobat Reader, get a free copy by clicking on the link below.
Medical
History Form (Acrobat PDF form)
Insurance
Information Form (Acrobat PDF form)
Financial
Policy (Acrobat PDF form)
Acknowledgement
of Receipt of Notice of Privacy Practices (Acrobat
PDF form)
Notice of Privacy Practices (web page)
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Business
Assistants
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Rene
and Joyce
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Welcome
| Meet the Doctors | About
Our Team | Our Services
Latest Technology | Patient
Comfort | Patient Information | Testimonials
Map / Hours
| For Referring Doctors | Contact
Us | Links
©Copyright 2003- Dental WebSmith, Inc. and Paul A. Jones, D.D.S., P.C. All rights reserved. Disclaimer: The information provided within is intended to help you better understand dental conditions and procedures. It is not meant to serve as delivery of medical or dental care. If you have specific questions or concerns, contact your health care provider.
