New Patient Forms

New Patient Forms

Haytham A. Fares D.D.S. PC

Financial policy letter

Patient information form

Medical history form

Health checklist

Consent form

Treatment form

Acknowledgment of receipt form

Rating survey

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Contact Us

Business Hours

Monday: 10:00 am - 7:00 pm
Tue, Thu: 9:00 am - 6:00 pm
Wednesday: 9:00 am - 3:00 pm
Fri - Sun: Closed

Fridays by Appointment

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