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Patient Forms

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For your convenience prior to your appointment, please click on the buttons below to complete and submit the patient forms online before your visit.

Patient Information Form

Medical History Form

HIPAA Authorization Form

COVID Screening Form

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57 W. 57th Street Suite 1008
New York, NY 10019

Truth and Laughter Dentistry

57 W. 57th Street Suite 1008 New York, NY 10019

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