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Forms and Info

The following forms are provided to our patients online for download. Please print and complete the forms and bring them to your appointment. We are leading family dentistry in Northwest Indiana. 

If you have questions about any of the paperwork, please give us a call at 219-865-4095 and our staff will be happy to help you.

• Registration Form

• HIPAA Policy

• Personal Health Info Disclosure Agreement

• Financial Policy

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