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Paga Family Dentistry
  • Search
  • Home
  • Meet the Team
  • Services
  • Patient Forms
  • Contact Us

Patient Forms

Please print our Health History Forms and bring them to your first visit.

Adult Health History Packet:

    • Adult Health History Form
    • HIPAA Release Form
    • Medical Record Release Form

Child Health History Packet:

    • Child Health History Form
    • HIPAA Release Form
    • Medical Record Release Form

Office Hours:

Mon 8:00 AM – 5:00 PM
Tue 8:00 AM – 5:00 PM
Wed 8:00 AM – 5:00 PM
Thu 8:00 AM – 5:00 PM

Closed Daily From
12:00 PM – 1:00 PM

Friday and Weekend hours for emergencies only

 

Contact us Today!

231-582-9781

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