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Registration

Here you will find various forms for new patients to complete and bring to your scheduled appointment.

Registration and Treatment Form (Microsoft Word  PDF)

Notice of Privacy Practices (Microsoft Word  PDF)

Privacy Practices Acknowledgement Form (Microsoft Word  PDF)

Risk Assessment Questionnaire (PDF)

Dr. Charu Chandra

North Hills Periodontics

Practice Limited to Periodontics and Implant Dentistry

222 South Clay Street

Zelienople, PA 16063

info@northhillsperio.com

(724) 453-0234