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Oregon Tech Dental Hygiene Clinic
Giving You Something to Smile About!		541-885-1330


	Please bring the following forms with you to your first appointment: Medical History Acknowledgment of Notice of Privacy Practices Patient Appointment and Financial Policy Periodontal Risk Assessment Oral Cancer Risk Assessment Outside Funding Survey These forms are for you to keep: Notice of Privacy Practices Client Bill of Rights

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Klamath Falls Dental Hygiene Clinic | Forms. Dr. Oregon Institute of Technology Dental Hygiene Clinic is a Klamath Falls Dental Hygiene Clinic.

Klamath Falls Dental Hygiene Clinic | Klamath Falls dental care | OR | Forms