Dr. Patrick A. Palma
2011 All Rights Reserved Address: 620 Commercial Street Mingo Junction, Ohio 43938 Phone ( 740 ) 535 - 0600
Patient Information
Introduction
----------------------------------------First Visit
-----------------------------------------Scheduling
----------------------------------------Insurance
---------------------------------------Financial Policy
---------------------------------------Home Instuctions
----------------------------------------Infection Control
----------------------------------------Privacy Policy
----------------------------------------New Patients
---------------------------------------Current Promotions
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Dr. Patrick A. Palma
Family & Cosmetic Dentistry
( 740 ) 535 - 0600
New Patients
If you are a new patient, simply print out these registration forms and bring them with you to your first dental visit along with any insurance information if applicable.
The forms are in PDF format, so you will need Adobe Acrobat Reader to open the forms. If you do not have Adobe Acrobat Reader, you can download it for FREE on the internet at http://get.adobe.com/reader/ and search for Adobe Acrobat Reader.
For adult New Patients, click on the following Two links to print out each form that you will need to complete for your first visit:
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Patient Registration
Medical History
For a child New Patient (under 16) click on the following links to print out each form that you will need to complete for your child's first dental visit.
Fun Stuff
Philosophy of Life
----------------------------------------Top 10 Reasons
-----------------------------------------Email the Tooth Fairy
----------------------------------------Word Search
---------------------------------------Contests and Games
---------------------------------------Trivia
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