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PATIENT REGISTRATION AND MEDICAL HISTORY Welcome to KidzRKool Pediatric Dentistry. We would like to welcome you and your child to our dental office. Our primary goal is to make every visit fun & educational.
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Start by filling out your personal information, including your name, address, phone number, and email address.
02
Next, provide information about your child, such as their name, date of birth, gender, and any medical conditions or allergies they may have.
03
Indicate whether your child has any specific needs or requirements that the staff at kidzrkool pediatric should be aware of.
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Specify the preferred time and date for your child's appointment at kidzrkool pediatric.
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Double-check all the information you have provided to ensure its accuracy before submitting the form.

Who needs welcome to kidzrkool pediatric:

01
Parents or guardians who are looking for a pediatric healthcare provider for their child.
02
Families with young children who want specialized medical care and services specifically designed for kids.
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Individuals who want a welcoming and child-friendly environment for their child's medical needs.
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Welcome to kidzrkool pediatric is a pediatric clinic that provides medical care for children.
Parents or guardians of children who are patients at kidzrkool pediatric are required to file the necessary forms.
You can fill out the welcome to kidzrkool pediatric forms online or in person at the clinic.
The purpose of welcome to kidzrkool pediatric is to gather important medical information about the child for their records.
Information such as the child's medical history, allergies, current medications, and emergency contact information must be reported on the welcome to kidzrkool pediatric form.
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