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    • Home
    • Our Services
    • About Us
    • FAQ's
    • Contact Us
    • Patient Forms
    • Implant Procedures
  • Home
  • Our Services
  • About Us
  • FAQ's
  • Contact Us
  • Patient Forms
  • Implant Procedures

New Patient Forms

Please fill out the following forms for your upcoming appointment. 


You may email them back to gagedental1@gmail.com. 

Or, you can bring them with you to your appointment.



Medical History (pdf)

Download

Photo-Xray Release (pdf)

Download

HIPAA Consent (pdf)

Download

Office Policy (pdf)

Download

Patient Info Form (pdf)

Download

Procedure Consent Forms & Post Op Care

Extraction Consent-Dr. Gage (pdf)Download
Root Canal Consent Form (pdf)Download
Nitrous (Laughing Gas) Consent (pdf)Download
IV Sedation Consent (PDF)Download
Implant Consent (PDF)Download
Sinus Graft Consent (PDF)Download

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