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If you’re booking your first appointment at Eringate Dental, please download and complete this medical history form to bring to your first dental appointment. Please arrive 15 minutes early. If you have dental insurance we can review your coverage with you and assist you in submitting the necessary forms.

New Patient Dental Forms

The following forms are here for your convenience. Please print them, fill them out and bring ALL forms with you to your first appointment. If you need any assistance dowloading or filling out the forms, please contact us. We will be happy to walk you through the process. Thank you.

• 2009 Dentist Info Release Form
• Eringate Medical Form
• Medical Information Update
• Office Policy
• Privacy Policy Consent Form

Dr. Razon-Clemente Dentistry Professional Corporation

Ample Free Parking Available!

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