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Charlotte Family Dentistry Patrick Gadola, D.D.S., P.C. Adult Patient History and Information (Confidential Information: Important for our files and your health) Full Name ___ Birth Date ___ Marital
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Charlotte Family Dentistry is a dental practice located in Charlotte that provides a range of dental services for families, focusing on preventive care, restorative treatments, and overall oral health.
Patients and guardians of patients seeking dental care at Charlotte Family Dentistry are required to fill out necessary medical and insurance forms to facilitate treatment and billing.
To fill out the forms at Charlotte Family Dentistry, patients should gather their personal and insurance information, complete the provided forms accurately, and submit them either online or in person at the practice.
The purpose of Charlotte Family Dentistry is to provide quality dental care for patients of all ages, promote dental health awareness, and ensure a positive experience for families visiting the practice.
Information required includes patient demographics, medical history, insurance details, emergency contacts, and consent forms related to treatment.
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