New Patient Medical Questionnaire and Dental Record Release Forms - Downtown Georgetown Dental | Georgetown Dentist
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New Patient Medical History Questionnaire

Please download the Medical History Questionnaire form then print, fill out, sign and return it to us.



DOWNLOAD QUESTIONNAIRE


Authorization for Release of Dental Records

Please either download the Authorization for Release of Dental Records form then fill out, print, sign and return it to us or fill out and sign the form online.



DOWNLOAD RELEASE FORM FILL OUT & SIGN ONLINE


COVID-19 Pandemic Dental Risk Consent

Please either download the COVID-19 Consent form then fill out, print, sign and return it to us or fill out and sign the form online.



DOWNLOAD COVID-19 CONSENT FORM FILL OUT & SIGN ONLINE

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