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Online Forms

Online Referral Form
You may complete your our new patient health history forms before you arrive at our office for your first consultation by clicking on the button to the right.  Bring the completed form with you on your first visit to our office and we will keep it on file in the office. The security and privacy of your personal data is one of our primary concerns and we have taken every precaution to protect it.
A healthy smile attracts people. It communicates vitality and self-confidence. When accidents, genetics, or disease cause dental failure, your looks, ability to eat, and very self-image may suffer. Fortunately, modern dentistry has developed amazing abilities to prevent or reverse dental disasters. Modern dental implants can support replacement teeth that are so natural-looking they can’t be distinguished from the original incisors, cuspids, and molars. Often the transformation can be made almost instantaneously; the patient may be able to go home with a new smile on the day his or her failing teeth are extracted. The implant-supported new teeth do more than just look good. They restore function and keep the underlying jawbone healthy.
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