Patient Form
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Patient Form
We want to welcome you to the Laurel Pines Dental Group family!
We are glad that you are interested in becoming a patient of Laurel Pines Dental Group. New patients are always welcome here. Everyone at Laurel Pines Dental Group is committed to making your visits pleasant and stress-free. You can count on our friendly, highly experienced staff to always provide the highest standard of dental care in a clean, state-of-the art environment. Your comfort is our top priority.
We look forward to seeing you soon!
The Laurel Pines Dental Group team
Patient Registration Form
Financial and Insurance Policy
Medical History
HIPAA Notice of Privacy Practices
Special Offers "Upto 75% Discounts"
NEW PATIENT SPECIAL - $99.00
Includes only One Exam and X-ray
*Special Offers cannot be combined with insurance.
*Affordable In-House Financing Available
*Please present the coupon at the time of visit..
EMERGENCY SPECIAL
"Please call the office to know more about the special"
*Special Offers cannot be combined with insurance
.
*Affordable In-House Financing Available
*Please present the coupon at the time of visit.
DENTAL IMPLANT SPECIAL $2595
Single Implant, Abutment and Crown
*Special Offers cannot be combined with insurance.
*Affordable In-House Financing Available
*Please present the coupon at the time of visit.
Root Canals, Crowns & Extractions - 20% OFF
*Special Offers cannot be combined with insurance.
*Affordable In-House Financing Available
*Please present the coupon at the time of visit.