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Brush n Brace Teen Dental
Brush n Brace Teen Dental
Brush n Brace Teen Dental
Brush n Brace Teen Dental
Brush n Brace Teen Dental

New Patient Information

Patient Information

FORMS NEEDED FOR YOUR FIRST VISIT

First off, let's get the boring stuff out of the way. For your first visit, we will need information about you.

We have 2 forms, one to be filled out by one of your parent's/guardian and one to be filled out by you! It's not too complicated, you can either fill it out on our secure server or download the form and email it back to us! We've tried to make it as easy, breezy for you! If you need any help, just give us a ring, we're here for you!
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