ROYAL DENTAL CENTER
royaldentalcenter.net
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This page contains information pertaining to all new and current patients.  It includes information regarding our financial policies, insurance matters, HIPAA requirements and other topics concerning our relationship and communication with our patients.


These are forms in which you will be required to fill out prior to you first/next visit (if last visit was prior to 10-31-12), either at your convenience or by arriving for your appointment 15-30 minutes early.  Having these forms prior to your visit will allow you to complete the forms in advance, or at least provide you with the required information for you to collect beforehand.


The actual forms can be viewed online or you can also print the forms so you can fill them out when it is convenient for you before your visit.






You will need Adobe Reader (free download) to view and print these forms. If you do not have this program, you can download it from here.


NEW PATIENTS - Please print off ALL pages and bring in at appointment.


EXISTING PATIENTS -  If your last appointment was prior to 10-31-12 please complete pages 2-5. We can update any addresses and/or phone numbers at appointment time.


If you have any problems downloading forms, please contact us at royaldentalcenter@sbcglobal.net and we will be more than happy to email the forms to you directly.

NEW PATIENT FORMS/CURRENT PATIENT UPDATE FORMS

Patient forms below:

   Registration/Health History

   HIPAA forms