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NEW PATIENTS

Prior to first appointments, we like to have a little information about each patient. 
You can save time by printing the two forms below and fill them out prior to your first appointment. 
 

  • You can print the form here and bring it with you on the day of your appointment, or

  • You can fill it out in the office the day of your appointment (please arrive 15 minutes early).

Contact us!

A HEALTHY SMILE BEGINS WITH A CHILD

1218 Virginia St. E. Suite D
Charleston, WV 25301

Tel: 304-342-4422

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© 2016 by Young Smiles, Kendra Martin DDS, PLLC

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