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Newsome Dentistry
Our Team
Services
Contact Us
Contact Us
Newsome Dentistry
Our Team
Services
Contact Us
Contact Us
Our Team
Services
Contact Us
Contact Us

Patient Forms

 
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Adult Health History Form

Financial Agreement Form

HIPPA Form

Informed Consent for Pediatric Treatment Form

Pediatric Health History Form


Please email forms to: renee@leenunndds.com

Newsome Dentistry

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200 West Lexington Avenue
Suite 101
High Point, NC 27262

336.884.0800

Office Hours:
Mon. 8 - 4:30
Tues. 8 - 4:30
Wed. 8 - 3:30
Thur. 8 - 3:30
Fri. Closed

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