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Hugh E. Frail, D.D.S., M.D.S. Patient Information Form for AdultsFull Name: Nick Name: Age: Birthdate: Social Security #: Single: Married: Divorced: Separated: Widowed: Home Address: Home Phone Number:
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Orthodontist Whitehall and Allentown refer to orthodontic services and providers located in the Whitehall and Allentown areas, specializing in the diagnosis, prevention, and treatment of dental and facial irregularities.
Patients seeking orthodontic treatment in the Whitehall and Allentown areas typically do not file anything; instead, orthodontists or dental practices handle necessary documentation for insurance and treatment plans.
Filling out forms related to orthodontic services generally involves providing personal and medical information, insurance details, and consent for treatment, often done during the initial consultation.
The purpose is to provide orthodontic care to improve dental alignment and function, as well as enhance facial aesthetics for patients in Whitehall and Allentown.
Common information includes patient demographics, medical history, current dental status, treatment plans, and insurance information.
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