For your convenience prior to visiting our office, please Click here to print the New Patient Health History Form, complete the information and bring it with you to your first visit.



Click on the Form below to read information on the subject listed 

Baby Tooth Trauma
Fillings and Crowns
After Surgery Instructions
Sedation



To print the form you will need Adobe Acrobat Reader.  If you do not have Adobe Acrobat, please click here to download it for free to your computer.

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Pediatric Dentistry, Larry Dormois D.D.S., Steve Fuson, D.D.S., John Acosta, D.D.S. ~ Pediatric Dentist serving Memphis, Germantown, TN, & Southhaven, MS.


Copyright © 2007 ~  Larry Dormois, D.D.S.,  Steve Fuson, D.D.S., John Acosta, D.D.S.  ~  All Rights Reserved.
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