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FORMS: WE NEED ALL FORMS COMPLETED AND RETURNED 2 WEEKS PRIOR TO APPOINTMENT OFFICE EMAIL: INFO@LAKEVIEWKIDSDENTISTRY.COM Outpatient Dental Surgery and Treatment Instructions and Information Dear
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Step 1: Gather necessary information including child's name, date of birth, address, and primary care physician
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Parents or guardians of children aged 0-17 who are seeking medical services at Sunrise Pediatric
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This form is used for reporting medical information for patients aged 0-17 at Sunrise Pediatric.
Parents or legal guardians of patients aged 0-17 are required to file this form at Sunrise Pediatric.
The form can be filled out online or in person at the Sunrise Pediatric office. You will need to provide medical information and details about the patient.
The purpose of this form is to ensure that Sunrise Pediatric has accurate and up-to-date medical information for patients aged 0-17 so that they can provide appropriate care.
You must report details such as medical history, allergies, current medications, and any existing medical conditions or treatments.
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