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• | New Patient Form |
• | Acknowledgment of Privacy |
• | Notice of Privacy Policy |
• | Patient Agreement Form & Financial Policy |
• | Dental History Form |
• | Medical History Form |
Marie Durflinger, DDS Rima Abifaker, DDS Call (425) 208-0032 Bella Dental Care 1550 140th Avenue NE Suite 110, Bellevue, WA 98005-4500 Open Monday–Friday |