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REGISTRATION CROWN SURGERY MEDICAL GROUP 800 Magnolia Avenue, Suite 107 Corona, CA 92879 (PLEASE PRINT) Telephone: (951× 7360696 Fax: (951× 7354779 Late Home Phone () Cell Phone () PATIENT INFORMATION
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How to fill out a crown surgery medical group:

01
Begin by gathering all necessary information. This includes personal details such as your name, contact information, and date of birth. You may also need to provide insurance information, if applicable.
02
Next, fill out any demographic information required by the medical group. This may include your address, marital status, and occupation.
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Provide a detailed medical history. Be thorough and include any previous surgeries, medications, allergies, or medical conditions that may be relevant to the crown surgery.
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If you have any specific concerns or questions regarding the crown surgery, make sure to note them on the form in a clear and concise manner.
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Review the document for accuracy and completeness before submitting it to the crown surgery medical group.

Who needs crown surgery medical group?

01
Individuals who require dental crown surgery, which involves the placement of a dental crown over a damaged tooth, may need to consult with a crown surgery medical group.
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Individuals with dental issues such as tooth decay, fractured teeth, or teeth weakened by large fillings may seek the expertise of a crown surgery medical group.
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People who want to enhance their smile or improve the appearance of their teeth may also consider crown surgery.
Remember, it is always best to consult with a dental professional or crown surgery medical group to determine if crown surgery is the right option for you.
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