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Office of Dr. Eli Thornton, DDS 299 Madison Ave N Suite A Bainbridge Island, WA 98110 P: (206) 8424848 F: (206) 7809646 Please fill out this form completely. The more information we have, the better
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Start by entering your personal information, including your name, address, phone number, and email address.
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Specify the reason for your visit and any relevant dental issues or concerns you may have.
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Indicate any medications or allergies that may be important for the dentist to know.
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Follow any additional instructions provided by the dental office, such as bringing any necessary documents or arriving at a specific time.

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