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  Contact Us
Meet Dr. Yung

If you'd like to download and print these forms to fill out prior to your appointment, these are the six pages that we'll need from you.

Consent for Use and Disclosure of Health Information: Word Document  |  PDF

Patient Information Form: Word Document  |  PDF

Medical History Form: Word Document  |  PDF

Dental History Form: Word Document  |  PDF

Financial Policy: Word Document  |  PDF

Patient Acknowledgment of receipt of Dental Materials Fact Sheet: Word Document  |  PDF

 

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