
At Leffall Family Dentistry, we offer patient forms online so you can complete them in the convenience of your own home or office. Fax us your printed and completed forms or you may bring them during your visit.
- New Patient Form
Download & Print | Fill Out Online - Patient Acknowledgement of Receipt of Notice of Privacy Practices
Download & Print | Fill Out Online - Treatment Consent Form
Download & Print | Fill Out Online - Insurance Assignment & Release
Download & Print | Fill Out Online
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