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Dr. Paul Schmidt
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Make an Appointment with Dr. Paul Schmidt DDS Today
Call:
989.793.6480
Fax:
989.793.5069
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Email:
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Forms
PLEASE NOTE: To open and print these attachments, you must have Adobe Acrobat Reader installed on your computer. If you do not have Adobe Acrobat Reader, you can download it for free from
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NEW PATIENT INFORMATION
Notice of Privacy Practices
Acknowledgement of Receipt of Notice of Privacy Practices
Patient Registration and Medical History
Smile Checklist
Don't Wait Until It Hurts
CONSENT FORMS
Standard Informed Consent for Bleaching
Sedation Consent
Post Op Instructions for Sedation
Nitrous Oxide Informed Consent Form
Extraction Informed Consent
Endodontic Therapy Informed Consent
INSTRUCTIONS FOR PATIENTS
Care of Mouth After Extraction
Sedation for Dental Treatment Instruction for Parent/Guardian
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989.793.6480
4963 Mackinaw Road, Saginaw, MI 48603
Dr. Paul Schmidt. All Rights Reserved. Site created and maintained by
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