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    Regular Checkups

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    Teeth Whitening

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Denpure patient medical history form

We ask you for information about your general health to help us treat you safely. Please download and fill out our medical history form, answer the health questions and then sign the form on the back page. We will use this form at later visits to discuss any change in your general health.

All information will be kept strictly confidential by the people caring for you.

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