Patient Forms

Please print and complete the following forms and bring them with you to your first office visit.

ADA Health History

Financial Policy

Notice of Privacy Practice

Effingham Smiles Family Dentistry “You Smile” Document

 

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EFFINGHAM SMILES FAMILY DENTISTRY

Office Address

499 S Columbia Ave, Rincon, GA 31326

Phone

(912) 826-2402

Email

info@effinghamsmiles.com

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