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Patient Forms

Patient registration and medical history forms

Click the link below to fill out the new patient paperwork online.

OR

Download and print the new patient paperwork.

The document will open in a separate window. When you have printed the forms, closing the document window will bring you back to this page.

The registration form is available as Adobe Acrobat pdf file. On a slow connection, they may take a minute or two to load – please be patient. If you do not have the latest version of the Adobe Acrobat Reader it is available as a free download here

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No-Dental-Insurance


Care Credit- Louisville, KY Dentist

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