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Welcome to our Forms page Below we have provided you with all the necessary forms you will need as a new or existing patient with All-Star Smiles 4 Kids. For new patients, we ask that you have all of the forms completed and signed (where applicable) prior to arriving for you first appointment. This will make our job easier and will greatly assist us in seeing your child for their dental exam and treatment. Forms for New* and Existing Patients |
Forms - New Patients and Existing Patients
| Welcome Letter |
| Office Policies |
| Financial Policy |
| HIPAA Privacy Practices |
| New Patient Questionnaire |
* Note: For new patients, it is very important that all documents are printed,
read completely and signed (as applicable) prior to your child's first visit.
read completely and signed (as applicable) prior to your child's first visit.
| Dental Claim Form |
| TM |
| A. Stephen Pauly, DDS, PC |
| "KIDS are our only business!" |
| "KIDS are our only business!" |
| TM |
| (C) Copyright 2007. A. Stephen Pauly, DDS, PC. All rights reserved. |
| (970) 484-4255 |
| TM |
| Web site designed and built by M2. |