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LISA GUTERSON, DMD, PC DAVID L. WILSON, DMD 14300 S.W. PACIFIC HWY. TIGARD, OR 97224 PATIENT INFORMATION Welcome to our office! Please fill out this form completely in ink. All information is kept
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How to fill out Lisa Gitelson DMD PC:

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Start by gathering all the necessary information such as your personal details, contact information, and any relevant medical history.
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Visit the Lisa Gitelson DMD PC office or website to obtain the specific forms required for filling out. These may include patient registration forms, medical history forms, and insurance information.
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Carefully read and understand each form before filling them out to ensure accuracy and completeness. Take your time to provide all the necessary details as requested.
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Begin filling out the forms, starting with your personal information such as your full name, date of birth, address, and phone number.
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Progress to providing any relevant medical history information, including past surgeries, allergies, medications, and chronic conditions. Be as thorough as possible to assist the dental team in providing appropriate care.
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If applicable, complete the insurance information portion of the form, including policy numbers, group numbers, and any other relevant details. This will allow the dental office to bill your insurance company directly if needed.
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Double-check all the information you have provided to ensure accuracy and completeness. Any mistakes or missing information could potentially affect the quality of care you receive.
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Who needs Lisa Gitelson DMD PC:

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Note: Lisa Gitelson DMD PC is a dental practice that provides various dental services to meet the oral healthcare needs of individuals in the community.
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Lisa Gitelson DMD PC is a dental practice owned by Lisa Gitelson, a dentist.
Lisa Gitelson DMD PC is required to file taxes and relevant business documents.
To fill out documents for Lisa Gitelson DMD PC, one must provide accurate financial and business information related to the practice.
The purpose of Lisa Gitelson DMD PC is to provide dental services to patients and operate as a business entity.
Information such as revenue, expenses, assets, liabilities, and tax deductions must be reported on Lisa Gitelson DMD PC documents.
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