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Michanowicz Endodontics in Hollidaysburg, PA
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Forms

If you would like to complete your registration forms before you arrive, you may download them by clicking below. These forms are in PDF format. Click on the link to download the forms. If you do not have Acrobat Reader, get a free copy by clicking on the link below.

 

PDFDownload ReaderNew Patient Form

PDFFinancial Policy (for Patients WITH Dental Insurance)

PDFFinancial Policy (for Patients WITHOUT Dental Insurance)

Notice of Privacy Practices (web page)

PDFNotice of Non-Discrimination


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