• ASHMORE ORTHODONTICS

    Adult Patient Registration Form
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  • If yes, please let the front desk know as soon as possible and they will be happy to gather the necessary information to process your claims for you

    We keep a record of the health care services we provide to you. You may ask us to see and copy that record. We will not disclose your record to others unless you direct us to do so or unless the law authorizes or compels us to do so. You may see your record or get more information about it at our front desk.

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