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COVID-19 FORMS

COVID-19 PANDEMIC EMERGENCY AND ELECTIVE DENTAL TREATMENT NOTICE AND ACKNOWLEDGEMENT OF RISK FORM

During these uncertain times regarding the COVID-19 Global Pandemic, our top priority is the  safety of our patients, staff, and community. This document is to serve as information to acknowledge and understand regarding COVID-19 and dental care.

Print or Submit, but be sure to do one before your next visit - Thank you.

DOWNLOAD A PRINTABLE COPY OF THE FORM
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1009 Valley Forge Rd

Norristown, PA 19403

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