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Roup Dental
Creating Beautiful Smiles

New Patients

Thank you for choosing Roup Dental.  The following is information that will be useful in meeting your dental needs.  Please feel free to complete these 4 pages before your appointment and bring them with you.  If unable, please arrive 10 minutes early and we can provide copies upon your arrival.

 

Please print these 4 documents and bring them to your first visit.

Medical History.pdf

Dental History Questionnaire.pdf

HIPPA Policy

 HIPPA Form

Financial Policy

 

Testimonials

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