Patient Forms

If you are a new patient to our office, the forms below will need to filled out when you arrive for your first appointment in our dental office. Printing them, filling them out and bringing them with you will allow us to attend to your dental needs more quickly than completing them on your arrival.  Thank you and please call our dental office if you have any questions or need any assistance. 

Medical History

Patient Registration and notice of Privacy Practices

This web site uses files in Adobe Acrobat Portable Document Format (pdf) which require Adobe® Acrobat® Reader for viewing and printing. It is available to download free.

 

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Reid Family Dentistry PC
General & Cosmetic Dentistry

Hartford City, Indiana Dentist, Dr. Amber Reid is dedicated to cosmetic dentistry such as Exams, Teeth Whitening, Veneers and more.


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