Patient Forms

New Patient Forms

 

Health Form
Patients 14 and Older

 

Health Form
Patients 13 and Younger

Informed Consent
For Dental Extraction
Informed Consent for Dental Extraction

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Prairie City Office

Monday:

Closed

Tuesday:

8:00 am-5:00 pm

Wednesday:

8:00 am-5:00 pm

Thursday:

8:00 am-5:00 pm

Friday:

Closed

Saturday:

Closed

Sunday:

Closed

Colfax Office

Monday:

8:00 am-5:00 pm

Tuesday:

8:00 am-5:00 pm

Wednesday:

8:00 am-5:00 pm

Thursday:

8:00 am-5:00 pm

Friday:

8:00 am-5:00 pm

Saturday:

Closed

Sunday:

Closed