Important Forms

 

 

Please open, print, fill out and sign the following forms, before your child's first appointment at our office. Completed forms should be mailed to arrive at our office at least 3 days before the appointment. Please mail to:

Lancaster Pediatric Dentistry
1875 Lititz Pike
Lancaster PA 17601

 

Registration Form

Medical History

Please Read

   

HIPAA Privacy Act

 

   

We Make Kids Smile!

Practice Limited to Pediatric Dentistry
1875 Lititz Pike
Lancaster PA 17601
717-560-9002

 

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