Richard Dunlap, DDS ~ Tracy Poole, DDS ~ Richard Thomas, DDS ~ Robert Weisenburger, DDS
5532 W. Central Ave.
Toledo, OH 43615
419.539.2168
“Whether your dental needs are very simple or very complex, your comfort, trust and confidence remain our mission and our goal.”
 

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New Patient Forms

We have made our new patient forms available to you as Adobe Acrobat files. For your convenience, we recommend printing and completing these forms at home.

Please remember to bring your completed forms with you for your first appointment. If you have any problem getting these files to print properly, please call our office and we will gladly send or fax them to you.

The following two forms contain information on our office privacy practice as it relates to HIPPA.


Download Adobe Acrobat Reader Now

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