PATIENT FORMS


 

 

To help speed up the check-in process, you can fill out the new patient registration forms online or print them at home, and bring them in at your first appointment.  Forms included in the registration packet are:

  • Patient Registration
  • Insurance Information
  • Medical History
  • HIPAA Notice of Privacy Practice
  • HIPAA Authorization
  • Office Policy
     
  • To complete your registration forms online

     

    Click here

    Print these forms

     


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Location
Dee for Dentist
8772 S. Maryland Parkway
Silverado Ranch

Las Vegas, NV 89123
Phone: 702-586-7800
Fax: 702-586-7575
Office Hours

Get in touch

702-586-7800