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Dr Rick Dentistry www.drrickdentistry.com 19120 N. Pima Rd | Ste #110office@drrickdentistry.com (480)5854244Scottsdale, AZ 85255Patient Name: LastFirstMIPreferred NameAddress: Address 1Address 2______
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Dr. Rick Dentistry is a dental clinic located in downtown area offering a wide range of dental services.
All patients visiting Dr. Rick Dentistry are required to fill out patient intake forms before their appointment.
Patients can fill out the Dr. Rick Dentistry patient intake forms either online or in person at the clinic.
The purpose of Dr. Rick Dentistry forms is to gather essential information about the patient's medical history, dental concerns, and contact details.
Information such as patient's name, contact details, medical history, dental concerns, insurance information, and emergency contacts must be reported on Dr. Rick Dentistry forms.
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