Dr. Gary Plotz106 Northwest 2nd Street
New Patient FormsWe are happy to offer our patient forms online. Please feel free to print and fill them out at your convenience before your visit. New Patient RegistrationPlease download, print and complete this form before your first dental appointment. Medical HistoryPlease download, print and complete this form before your first dental appointment. Dental HistoryPlease download, print and complete this form before your first dental appointment. Notice of Privacy PracticesThis notice describes how health information about you may be used and disclosed and how you can get access to this information. You do not need to print or sign it. HIPAA Consent FormPlease download, print and complete this form before your first dental appointment. This notice describes how health information about you may be used and disclosed and how you can get access to this information.
Request AppointmentOur OfficeDr. Gary Plotz106 Northwest 2nd Street
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