Forms

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NEW PATIENT INFORMATION

Notice of Privacy Practices

Acknowledgement of Receipt of Notice of Privacy Practices

Patient Registration and Medical History

Smile Checklist

Don't Wait Until It Hurts

CONSENT FORMS

Standard Informed Consent for Bleaching

Sedation Consent

Post Op Instructions for Sedation

Nitrous Oxide Informed Consent Form

Extraction Informed Consent

Endodontic Therapy Informed Consent

INSTRUCTIONS FOR PATIENTS

Care of Mouth After Extraction

Sedation for Dental Treatment Instruction for Parent/Guardian

Paul Schmidt, DDS

Family and Cosmetic Dentistry

4963 Mackinaw Road

Saginaw, MI 48603

Phone: (989) 793-6480

More Information

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Need an appointment with a dentist in Saginaw ? Requesting an appointment at our Saginaw, MI family and cosmetic dental office is now easier than ever. Fill out the form below and we'll contact you to find a time that fits your schedule. Start your journey towards a beautiful smile with us today!

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