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Powered by Modento1385 Dental Studio 27379 E University Dr Suite 900, Aubrey, TX 76227 (817) 696 9080 www.1385dentalstudio.com/NEW PATIENT FORM Basic Information Name:Gender:Preferred Name:DOB:SSN
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Fill out the patient information section including name, date of birth, contact information, and insurance information if applicable.
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Provide details about the dental procedure being requested or completed including the reason for the visit, any symptoms or concerns, and previous dental history.
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List any current medications, allergies, or medical conditions that the dentist should be aware of before treatment.
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Sign and date the form to confirm all information is accurate and complete before submitting to the dental studio.

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Anyone in need of dental services from 1385 dental studio can benefit from filling out this form, including new patients, returning patients needing additional treatment, or individuals seeking emergency dental care.
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1385 dental studio dentist is a form used by dental studios to report their financial information to the IRS.
All dental studios are required to file 1385 dental studio dentist.
1385 dental studio dentist can be filled out online or on paper, following the instructions provided by the IRS.
The purpose of 1385 dental studio dentist is to report the financial status of dental studios to the IRS for tax purposes.
Information such as income, expenses, deductions, and credits must be reported on 1385 dental studio dentist.
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