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WELCOME TO BIRD PEDIATRIC DENTISTRY & ORTHODONTICS! PATIENT INFORMATION Date Child's Name Last First Middle Address Street City Home Phone: Birth Date: Child's School: State Zip Social Security #:
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Welcome to bird pediatric is a form that needs to be completed by all new patients visiting the pediatric department for the first time.
All new patients visiting the pediatric department for the first time are required to file welcome to bird pediatric.
Welcome to bird pediatric can be filled out by providing basic information about the patient such as name, age, medical history, and contact information.
The purpose of welcome to bird pediatric is to gather important information about new pediatric patients, which will help the medical staff provide appropriate care.
Information such as name, age, medical history, allergies, current medications, and emergency contacts must be reported on welcome to bird pediatric.
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