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Chaffing Dental Care 605 E. Holland Ave. Ste 214 Spokane, WA 99218 5094676128 www.chaffindentalcare.comNew Patient Form Please fill out all the information to the best of your knowledge. All answers
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How to fill out chaffin dental care new

01
Visit the Chaffin Dental Care website or office to obtain a new patient form.
02
Fill out the form with accurate and up-to-date personal and insurance information.
03
Provide any necessary medical history or dental records to the office staff.
04
Submit the completed form either online or in person at the office.

Who needs chaffin dental care new?

01
Anyone in need of dental care services, especially individuals looking for a new dental provider or those experiencing dental issues.
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Chaffin Dental Care is a new dental care provider offering a range of services.
All individuals who receive dental care services from Chaffin Dental Care are required to file.
To fill out Chaffin Dental Care forms, patients must provide accurate information about their dental history and current health.
The purpose of Chaffin Dental Care forms is to gather essential information about patients' dental health and treatment needs.
Patients must report their dental history, current health conditions, and any treatment preferences.
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