The following forms are available for you to download. When you come to our office the first time, please bring the completed forms to us so we can process your information quickly to reduce your wait time. You will need Adobe Reader to read and print the these forms.
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- You may email or fax the completed form when you schedule an appointment as a new patient. Or you can bring the completed form in on the day you visit us as a new patient.
To call: 770-242-0021. To fax: 770-242-6016
To Email: firstname.lastname@example.org
- Our current New Patient Special includes:
Simple Extraction - $
Surgical Extraction - $
*X-rays and examination included in above services
X-ray and Regular Cleaning for just $
We also have Implant Special for $ with free consultation
You must bring our current Ad on Gwinnett Daily Post or mention this web site to qualify for these special prices.