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New Patient Forms

To expedite your visit to Plaza Dental Associates, please PRINT and COMPLETE these forms and bring the printout with you to your first visit.

  1. Patient Registration Form
  2. Acknowledgement of Receipt of Notice of Privacy Practices
  3. Financial Policy
The New Patient Forms require Adobe Acrobat Reader. Click here to download your FREE reader.

 


:: Office Hours ::
Mon., Tues., Thurs.: 7:30 a.m. - 7:30 p.m.
Wed., Fri.: 7:30 a.m. - 5:00 p.m.
Sat.: By arranged appointment


:: Links ::
American Academy Pediatric of Dentistry

American Academy of Periodontology

American Dental Association

Care Credit (patient financing)

Discus Dental Consumer Products

Pennsylvania Dental Association


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