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Please Print Patient Information Circle One: Dr/ Mr/ Mrs / Miss Marital Status (circle): Single Married Minor Last: ___ First: ___ Middle: ___ Street: ___Unit:___ City: ___ Zip Code: ___ Home Phone:
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Schedule an appointment with Dental Care of Lombard by calling their office or using their online booking system.
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Arrive at your appointment on time and fill out any necessary paperwork, including your medical history and insurance information.
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Follow your dentist's instructions for your dental care plan, which may include regular cleanings, check-ups, and treatments for any dental problems.
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Dental Care of Lombard is a dental care service provider located in Lombard, Illinois.
Anyone who receives dental care services from Dental Care of Lombard may be required to file.
You can fill out Dental Care of Lombard forms online or in person at their office.
The purpose of Dental Care of Lombard is to provide quality dental care services to individuals in the Lombard area.
You must report your personal information, insurance details, and details of the dental services received.
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