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The
New Patient form is in web page format, so there is a web page for each page
of the form. Simply click on the links below, print each page of the form,
fill out the form, and bring it with you on your first visit. Also, after
reading the Notice of Privacy Practices, print
the Acknowledgement form below, sign it, and bring it in, too.
Acknowledgement of Receipt of Notice of Privacy Practices
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© Copyright 2003- Dental WebSmith, Inc. and Riverside Dental Care. All rights reserved. Disclaimer: The information provided within is intended to help you better understand dental conditions and procedures. It is not meant to serve as delivery of medical or dental care. If you have specific questions or concerns, contact your health care provider.
