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DR HAROLD PACKMAN
Periodontics & Dental Implants
Saving Teeth When Possible:Implants When Necessary

Patient Forms

 

 

If you are a new patient to our office, the attached file contains our new patient bundle with forms that will need to be filled out when you arrive at our office.  Printing them, filling them out and bringing them with you will allow us to attend to your medical needs more quickly than completing them on your arrival.  Thank you and please call our office if you have any questions at all.

Note: If you are having trouble printing these documents on a mobile device, please visit this page on a desktop computer connected to a printer and try again. Thank you.

 

Patient Information

Patient Pandemic Questionnaire

Notice of Privacy Policy

Acknowledgment of Receipt of Privacy Policy

Cancellation Policy


Contact Us

We encourage you to contact us with any questions or comments you may have. Please call our office or use the quick contact form below.

Testimonials

We sincerely appreciate the opportunity to serve our patients

Please email us with your comments about how well we have been able to help you acheive good oral health

Please mention the name of any of our team members who have been particularly helpfull.

If superb customer care was one word in the dictionary,it would definitely say "see Dr Harold Packman's office"
I can't tell you all how you make an evasive procedure into such a pleasant memory.
I really want to thank you for your great customer service.

Valerie G

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