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Forms Now you may Download and Print your dental forms at your own home and bring them into the dental office before your first visit! It's convenient, it's less stressful, and it's easy! To download a form, simply click on the name of the form you wish to download. Note: Forms are in Adobe PDF format and you will need an Adobe PDF Reader to view and print them. Patient Registration Notice of Privacy X-Ray Release Authorization Request for X-Ray Release Authorization to Release Info Treatment Consent (under age 18) Third Party Liability Third Party Parental Liability |
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| Call us today for an appointment at our 2 Evansville locations! 812-425-4206 (North) 812-473-1900 (East) |
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| Tri State Family Dental Centers 800 First Ave, Evansville, IN 47710 | (812) 425-4206 960 S. Hebron Ave, Evansville, IN 47714 | (812) 473-1900 |
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