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Notice of Privacy Practices Acknowledgement Porous Family Dentistry LLC Neal Porous DDS * Jason J Porous DDS www.potrykusfamilydentistry.com contactus@potrykusfamilydentistry.comI, understand that,
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Arrive at the Potrykus Family Dentistry office at the scheduled appointment time.
02
Request a patient form from the receptionist.
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Fill out the patient form accurately and completely with your personal and medical information.
04
Present the completed form to the receptionist or dental assistant.

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Any individual who is a new patient at Potrykus Family Dentistry in Eagle will need to fill out a patient form.
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Patient forms for Trykus Family Dentistry Eagle are medical forms that patients need to fill out before their dental appointments.
Patients visiting Trykus Family Dentistry Eagle are required to file patient forms.
Patients can fill out the forms either physically at the dental office or digitally through an online portal provided by Trykus Family Dentistry Eagle.
The purpose of patient forms at Trykus Family Dentistry Eagle is to gather important medical and dental history, insurance information, and consent for treatment.
Patient forms at Trykus Family Dentistry Eagle typically require personal information, medical history, dental history, insurance details, and any specific concerns or requests.
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