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Frederick Guerra, Jr, DMD General, Family & Cosmetic Dentistry 3208 North Academy Blvd., Ste. 100 Colorado Springs, CO 80917 Phone: (719)5961230 Fax: (719) 5720527 Email: office guerradental.com AUTHORIZATION
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How to fill out Frederick Guerra Jr DMD:

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Start by gathering all necessary personal information. This may include your full name, address, contact details, and social security number.
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If applicable, provide any relevant medical history, including allergies, current medications, and previous surgeries or dental procedures. This information can help the dentist understand your specific needs and any potential risks or complications.
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It is important to accurately complete the insurance section. If you have dental insurance, provide the policy number, the name of the insurance provider, and any other details requested. This will ensure that your insurance coverage is properly applied to the services provided.
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Take some time to review and understand any legal disclaimers or consent forms before signing them. These may cover topics such as privacy policies, treatment risks, and consent for procedures.

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