Forms & Brochures
 


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The Benjamin Dental Group wants to make each of your appointments as easy and convenient as possible.  We have made all of our patient paperwork available for you to print, complete and bring with you to your appointments.

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New Patient Paperwork

Child (12 & under) New Patient Paperwork

HIPAA (Privacy Information) Health History Update

Child (12 & under) Health Update

 Brochures Available to View

"What is the Difference...Between a "Regular" Cleaning, Root Planning and Periodontal Maintenance" - by Stepping Stones to Success

 

60 Union Street @ Pearl   Sidney, NY 13838    (607)-563-2333