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Dr. Marie DurflingerDr. RIMA AbifakerWelcome to our dental practice! We appreciate the opportunity to take care of you and your family. We are focused on providing you with high quality, gentle care.
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Open the bella-dental-a-new-patients-formdocx document on your computer.
02
Start with entering your personal information such as your full name, date of birth, and contact details.
03
Move on to the insurance section and provide your insurance information if applicable.
04
Fill out the medical history section accurately, including any current or past medical conditions, medications, and allergies.
05
Proceed to the dental history section and provide details about any previous dental treatments or concerns.
06
If you have any specific dental goals or concerns, make sure to mention them in the appropriate section.
07
Read and understand the privacy policy and terms of service sections before signing the form.
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Bella Dental's new patients need the bella-dental-a-new-patients-formdocx. This form is required for individuals who are visiting Bella Dental for the first time and wish to provide their personal, medical, and dental information in a structured format. It helps the dental office to better understand the patient's history and provide appropriate dental care.
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Bella-dental-a-new-patients-formdocx is a document used by patients to provide essential information to Bella Dental upon their initial visit.
All new patients visiting Bella Dental for the first time are required to fill out the bella-dental-a-new-patients-formdocx.
To fill out the form, patients should provide their personal details, contact information, medical history, insurance information, and any allergies they may have.
The purpose of the form is to gather necessary information to ensure that patients receive proper dental care tailored to their health needs.
Patients must report their name, contact details, medical history, dental history, insurance information, and any known allergies.
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