New Patient Registration

Thank you for choosing Palmer Dental!

Please click the following links to download the individual forms and return them to our office at your earliest convenience.

Dental History
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Authorization to Release Dental Information
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HIPPA - Receipt of Notice of Privacy Practices
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New Patient Registration
Form
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Financial Policy and Missed Appointment Policy
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New Patient Registration Form
(En español)
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Financial Policy & Missed Appointment Policy (En español)
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