| Before visiting our office for
the first time, please download,
print and fill out both of these
forms. They are in Adobe
Reader format. If Adobe reader
is not installed on your computer
you may download it for free at
www.adobe.com.
Patient
Registration
A form that includes your medical
history and other vital information
needed to provide you with the
highest level of care.
Consent to
Endodontic Therapy
A form to let patients know about
the various procedures involved in
endodontic therapy and to obtain
their consent before starting
treatment.
Privacy Notice
A form that details how your health
information may be used or disclosed
and how you can get access to that
information.
Doctor's
Referral Page and Form
Please note the referrals page
is for use by the dental professional
only.
Thank You for visiting West GA Root Canal - Web Site of Dr. David Fagundes
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